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1558347674
JOHN RAVERA
IRVINE, CA
NPI
1558347674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
208800000X Urology
(Licence: CA A333549)
Additional Taxonomies
208800000X Urology
(Licence: CA C28250)
Enumeration Date
2005-12-20
Last Update Date
2020-02-05
Business Address
JOHN RAVERA MD
16100 SAND CANYON AVE STE 240
IRVINE, CA 92618-3724
Phone number: 949-640-2081
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Mailing Address
JOHN RAVERA MD
16100 SAND CANYON AVE STE 240
IRVINE, CA 92618-3724
Phone number: 949-640-2081
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