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1245415066
RODRIGO I MABASA
GLENDALE, CA
NPI
1245415066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19516)
Enumeration Date
2007-12-31
Last Update Date
2020-12-04
Business Address
Mr. RODRIGO I MABASA P.A.C
1812 VERDUGO BLVD
GLENDALE, CA 91208-1407
Phone number: 818-790-7100
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Mailing Address
Mr. RODRIGO I MABASA P.A.C
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 818-790-7100
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