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1316646821
EVAN ALFRED BAILON
LONG BEACH, CA
NPI
1316646821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-02-23
Last Update Date
2023-06-27
Business Address
EVAN ALFRED BAILON
3530 ATLANTIC AVE STE 108
LONG BEACH, CA 90807-4569
Phone number: 310-613-4065
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Mailing Address
EVAN ALFRED BAILON
227 W 234TH PL
CARSON, CA 90745-5212
Phone number: 310-613-4065
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