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1760685747
ANNIE A MAVIAN
SAN BERNARDINO, CA
NPI
1760685747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A10027)
Enumeration Date
2007-06-07
Last Update Date
2021-12-02
Business Address
Dr. ANNIE A MAVIAN DO
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number: 909-883-8711
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Mailing Address
Dr. ANNIE A MAVIAN DO
45063 CORTE ZORITA
TEMECULA, CA 92592-1062
Phone number: 818-269-4863
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