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1497008304
SHIVANI MEHTA GOPALSAMI
LOS ANGELES, CA
NPI
1497008304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 22683)
Enumeration Date
2012-10-17
Last Update Date
2023-09-21
Business Address
SHIVANI MEHTA GOPALSAMI NP
757 WESTWOOD PLZ STE 6116B
LOS ANGELES, CA 90095-3012
Phone number: 310-267-7612
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Mailing Address
SHIVANI MEHTA GOPALSAMI NP
757 WESTWOOD PLZ STE 6116B
LOS ANGELES, CA 90095-8358
Phone number: 909-973-2226
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