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1578049458
IDA JELVEH
LAGUNA NIGUEL, CA
NPI
1578049458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA55747)
Enumeration Date
2018-07-13
Last Update Date
2018-07-13
Business Address
Miss IDA JELVEH PA-C, MSPAS, MPH
28096 EDELWEISS CT
LAGUNA NIGUEL, CA 92677-7006
Phone number: 949-291-0089
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Mailing Address
Miss IDA JELVEH PA-C, MSPAS, MPH
28096 EDELWEISS CT
LAGUNA NIGUEL, CA 92677-7006
Phone number: 949-291-0089
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