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1194963280
MICHAELA B BANAGAN
SAN JOSE, CA
NPI
1194963280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
(Licence: CA 18329)
Enumeration Date
2009-01-27
Last Update Date
2012-12-14
Business Address
-- MICHAELA B BANAGAN NP
5671 SANTA TERESA BLVD SAN JOSE
SAN JOSE, CA 95123-6512
Phone number: 408-284-2281
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Mailing Address
-- MICHAELA B BANAGAN NP
7861 MURRAY AVE GILROY
GILROY, CA 95020-4604
Phone number: 408-842-1017
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