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1053666297
VANESSA M MICHELENA BASANTES
FONTANA, CA
NPI
1053666297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-07-13
Last Update Date
2014-06-03
Business Address
-- VANESSA M MICHELENA BASANTES PA-C
4904 TAHAN WAY
FONTANA, CA 92336-0428
Phone number: 909-561-5032
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Mailing Address
-- VANESSA M MICHELENA BASANTES PA-C
4904 TAHAN WAY
FONTANA, CA 92336-0428
Phone number: 909-561-5032
Copy
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