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1831956432
ALISA A MIATSELITSA
PLACERVILLE, CA
NPI
1831956432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 89099)
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
ALISA A MIATSELITSA PharmD
4300 MISSOURI FLAT RD
PLACERVILLE, CA 95667-6811
Phone number: 530-621-3447
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Mailing Address
ALISA A MIATSELITSA PharmD
5145 EMERALD FELL CT
ANTELOPE, CA 95843-5940
Phone number: 916-832-1460
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