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1619196474
MIGUEL A PERALTA
BURBANK, CA
NPI
1619196474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 19101)
Enumeration Date
2007-04-24
Last Update Date
2021-12-06
Business Address
-- MIGUEL A PERALTA PA-C
2625 W ALAMEDA AVE #116
BURBANK, CA 91505-4806
Phone number: 818-841-3936
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Mailing Address
-- MIGUEL A PERALTA PA-C
2625 W ALAMEDA AVE #116
BURBANK, CA 91505-4806
Phone number: 818-841-3936
Copy
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