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1275644098
EDGAR CORRALES BANEZ
LOS ANGELES, CA
NPI
1275644098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A52430)
Enumeration Date
2006-08-31
Last Update Date
2012-11-13
Business Address
Dr. EDGAR CORRALES BANEZ M.D.
4867 EAGLE ROCK BLVD STE.#1
LOS ANGELES, CA 90041-2657
Phone number: 323-254-6754
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Mailing Address
Dr. EDGAR CORRALES BANEZ M.D.
4867 EAGLE ROCK BLVD STE.#1
LOS ANGELES, CA 90041-2657
Phone number: 323-254-6754
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