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1447918081
MIA WIGLEY
LOS ANGELES, CA
NPI
1447918081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59229)
Enumeration Date
2021-12-01
Last Update Date
2021-12-02
Business Address
MIA WIGLEY PA-C
8631 W 3RD ST STE 204
LOS ANGELES, CA 90048-5901
Phone number: 310-423-3277
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Mailing Address
MIA WIGLEY PA-C
8631 WEST 3RD STREET SUITE 240 EAST
LOS ANGELES, CA 90048
Phone number: 310-423-3277
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