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Individual
MRIDULA B WATT
Active
Individual
MRIDULA B WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A110073
CA
208000000X
Pediatrics Physician
A110073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144484973
—
CA
Enumeration date
07/10/2008
Last updated
09/17/2019
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