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1265692925
VERONICA M BANTA
LOS ANGELES, CA
NPI
1265692925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A104447)
Enumeration Date
2008-06-16
Last Update Date
2010-12-07
Business Address
Dr. VERONICA M BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-461-0777
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Mailing Address
Dr. VERONICA M BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-461-0777
Copy
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