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1134907652
TANA CABANILLAS
CARSON, CA
NPI
1134907652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64189)
Enumeration Date
2023-09-18
Last Update Date
2024-04-29
Business Address
TANA CABANILLAS
19815 ANNALEE AVE
CARSON, CA 90746-3146
Phone number: 407-579-2013
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Mailing Address
TANA CABANILLAS
19815 ANNALEE AVE
CARSON, CA 90746-3146
Phone number: 407-579-2013
Copy
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