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1619012689
MARY GRACE CABATAS JUSTINIANI
VAN NUYS, CA
NPI
1619012689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 17249)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- MARY GRACE CABATAS JUSTINIANI PA-C
14044 VICTORY BLVD
VAN NUYS, CA 91401-2226
Phone number: 818-376-0405
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Mailing Address
-- MARY GRACE CABATAS JUSTINIANI PA-C
19120 JOVAN ST
TARZANA, CA 91335-6710
Phone number: 818-758-0243
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