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1679894646
BRANDIE LASALA
MISSION VIEJO, CA
NPI
1679894646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: PA MT198165)
Enumeration Date
2010-06-14
Last Update Date
2019-11-01
Business Address
BRANDIE LASALA MD
26161 LA PAZ RD STE 115
MISSION VIEJO, CA 92691-5334
Phone number: 949-206-0001
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Mailing Address
BRANDIE LASALA MD
26161 LA PAZ RD STE 115
MISSION VIEJO, CA 92691-5334
Phone number: 717-531-8521
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