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1407506942
MARIAELENA GAVILANES
LAGUNA BEACH, CA
NPI
1407506942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA PA60874)
Enumeration Date
2022-03-27
Last Update Date
2022-03-27
Business Address
MARIAELENA GAVILANES PA-C
32406 COAST HWY
LAGUNA BEACH, CA 92651-6783
Phone number: 949-499-4147
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Mailing Address
MARIAELENA GAVILANES PA-C
34 GREENMOOR
IRVINE, CA 92614-7474
Phone number: 626-862-7094
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