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1205561008
VICTORIA BANUELAS
IRVINE, CA
NPI
1205561008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
VICTORIA BANUELAS PA
145 PLACEMARK
IRVINE, CA 92614-0172
Phone number: 915-202-3445
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Mailing Address
VICTORIA BANUELAS PA
145 PLACEMARK
IRVINE, CA 92614-0172
Phone number:
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