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1194848457
SEBASTIAN FUENTES
LOS ANGELES, CA
NPI
1194848457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA 18064)
Enumeration Date
2007-04-09
Last Update Date
2021-12-02
Business Address
Mr. SEBASTIAN FUENTES PAC
2200 W 3RD ST STE 300
LOS ANGELES, CA 90057-1936
Phone number: 213-639-2200
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Mailing Address
Mr. SEBASTIAN FUENTES PAC
2200 W 3RD ST STE 300
LOS ANGELES, CA 90057-1936
Phone number: 213-639-2200
Copy
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