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1356321384
KETSANA VILAYSANE
FRESNO, CA
NPI
1356321384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A84750)
Enumeration Date
2006-01-17
Last Update Date
2021-11-11
Business Address
KETSANA VILAYSANE M.D.
6183 N FRESNO ST STE 101
FRESNO, CA 93710-8611
Phone number: 559-432-5003
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Mailing Address
KETSANA VILAYSANE M.D.
6183 N FRESNO ST STE 101
FRESNO, CA 93710-8611
Phone number: 559-432-5003
Copy
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