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1659023455
ELISA MIAN
HONOLULU, HI
NPI
1659023455
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Former Name
ELISA GRANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: HI AMD-1231)
Enumeration Date
2022-01-22
Last Update Date
2024-02-22
Business Address
ELISA MIAN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2499
Phone number: 808-691-1000
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Mailing Address
ELISA MIAN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2499
Phone number: 808-691-1000
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