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1427703008
GRACE MARDIKIAN
LOS ANGELES, CA
NPI
1427703008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-02-13
Last Update Date
2022-02-13
Business Address
GRACE MARDIKIAN
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 818-939-7992
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Mailing Address
GRACE MARDIKIAN
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number:
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