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1134946221
AIRA MARIE BALMACEDA GUSILAN
BEVERLY HILLS, CA
NPI
1134946221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 65091)
Enumeration Date
2024-09-20
Last Update Date
2024-10-17
Business Address
AIRA MARIE BALMACEDA GUSILAN PA-C
9001 WILSHIRE BLVD STE 202
BEVERLY HILLS, CA 90211-1841
Phone number: 310-860-9502
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Mailing Address
AIRA MARIE BALMACEDA GUSILAN PA-C
24140 MIDVALE CT
CORONA, CA 92883-3611
Phone number: 619-215-6019
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