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1851577241
VIJAY MIRMIRA
LODI, CA
NPI
1851577241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A106428)
Enumeration Date
2008-01-15
Last Update Date
2013-02-26
Business Address
-- VIJAY MIRMIRA M.D
1901 W KETTLEMAN LN SUITE 200
LODI, CA 95242-4337
Phone number: 209-334-8540
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Mailing Address
-- VIJAY MIRMIRA M.D
PO BOX 241011
LODI, CA 95241-9511
Phone number: 209-339-7825
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