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Individual
VIRGINIA GIFFORD
Active
Individual
VIRGINIA GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2810130
MEDI-CAL
CA
Enumeration date
10/12/2006
Last updated
07/22/2008
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