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1417064254
JOSEPH M MIRRA
WEST HOLLYWOOD, CA
NPI
1417064254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G22184)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- JOSEPH M MIRRA M.D.
8700 BEVERLY BLVD ROOM 8725
WEST HOLLYWOOD, CA 90048-1804
Phone number: 818-338-8103
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Mailing Address
-- JOSEPH M MIRRA M.D.
31255 CEDAR VALLEY DR SUITE 324
WESTLAKE VILLAGE, CA 91362-4014
Phone number: 818-338-8103
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