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1043264690
MUSSA BANISADRE
MODESTO, CA
NPI
1043264690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA A38740)
Enumeration Date
2006-05-19
Last Update Date
2008-04-14
Business Address
-- MUSSA BANISADRE MD
1325 MELROSE AVE SUITE A
MODESTO, CA 95350-5508
Phone number: 209-524-7000
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Mailing Address
-- MUSSA BANISADRE MD
1325 MELROSE AVE SUITE A
MODESTO, CA 95350-5508
Phone number: 209-524-7000
Copy
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