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1780304907
SHANNON MELODY MIZRAHI
POMONA, CA
NPI
1780304907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Ms. SHANNON MELODY MIZRAHI
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
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Mailing Address
Ms. SHANNON MELODY MIZRAHI
3953 SAPPHIRE DR
ENCINO, CA 91436-3639
Phone number: 818-634-9787
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