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1427672559
GRACE ELLEN BANKS
SAN FRANCISCO, CA
NPI
1427672559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57894)
Enumeration Date
2020-06-04
Last Update Date
2024-04-01
Business Address
GRACE ELLEN BANKS PA
1199 BUSH ST STE 500
SAN FRANCISCO, CA 94109-5976
Phone number: 415-500-8133
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Mailing Address
GRACE ELLEN BANKS PA
6680 ALHAMBRA AVE
MARTINEZ, CA 94553-6105
Phone number: 415-500-8133
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