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1124100300
MICHAEL P BLASKO
NEWPORT BEACH, CA
NPI
1124100300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 00000PA17281)
Enumeration Date
2006-10-19
Last Update Date
2021-12-01
Business Address
MICHAEL P BLASKO PA
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660-8105
Phone number: 949-335-7500
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Mailing Address
MICHAEL P BLASKO PA
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660-8105
Phone number: 949-335-7500
Copy
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