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Individual
JUDAH JOSHUA MIRVISH
Active
Individual
JUDAH JOSHUA MIRVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A178097
CA
390200000X
Student in an Organized Health Care Education/Training Program
D0086815
MD
Other
Enumeration date
03/28/2017
Last updated
01/06/2023
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