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1598996019
CRYSTAL MIRAN
ANTIOCH, CA
NPI
1598996019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20372)
Enumeration Date
2009-07-31
Last Update Date
2009-07-31
Business Address
-- CRYSTAL MIRAN P.A.-C
3901 LONE TREE WAY
ANTIOCH, CA 94509-6200
Phone number: 925-779-7200
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Mailing Address
-- CRYSTAL MIRAN P.A.-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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