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1871028373
SIERRA MIRVIS
SAN DIEGO, CA
NPI
1871028373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86045744)
Enumeration Date
2017-04-22
Last Update Date
2022-01-09
Business Address
SIERRA MIRVIS RD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 619-955-0653
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Mailing Address
SIERRA MIRVIS RD
5535 GALA AVE
SAN DIEGO, CA 92120-1807
Phone number:
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