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Individual
IRINA B GANELIS
Active
Individual
IRINA B GANELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A99531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX658A
PTAN
—
Enumeration date
04/23/2009
Last updated
06/01/2012
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