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1942834296
HARINA SHAJI MATTAPPALLY
VAN NUYS, CA
NPI
1942834296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014015)
Enumeration Date
2020-02-26
Last Update Date
2021-12-27
Business Address
HARINA SHAJI MATTAPPALLY
6850 SEPULVEDA BLVD
VAN NUYS, CA 91405-4444
Phone number: 818-782-4104
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Mailing Address
HARINA SHAJI MATTAPPALLY
21339 BLACKHAWK ST
CHATSWORTH, CA 91311-2311
Phone number: 818-738-6155
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