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1366171779
MIRA TAKHALOVA
LOS ANGELES, CA
NPI
1366171779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0600X Registered Nurse, Gerontology
(Licence: CA 586479)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
MIRA TAKHALOVA RN
8445 VERNON AVENUE #309
LOS ANGELES, CA 90067-4565
Phone number: 323-633-6363
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Mailing Address
MIRA TAKHALOVA RN
1155 N GARDNER ST APT 302
WEST HOLLYWOOD, CA 90046-5623
Phone number: 323-509-8192
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