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1487136446
MAYURA RAGHAVAN
SAN DIEGO, CA
NPI
1487136446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 55761)
Enumeration Date
2018-09-05
Last Update Date
2023-07-31
Business Address
MAYURA RAGHAVAN PA
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
MAYURA RAGHAVAN PA
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 800-926-8273
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