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1790062990
MICHELLE COLLANTES
ANAHEIM, CA
NPI
1790062990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21693)
Enumeration Date
2011-11-16
Last Update Date
2015-04-28
Business Address
-- MICHELLE COLLANTES PA-C
1801 E KATELLA AVE
ANAHEIM, CA 92805-6602
Phone number: 123-456-7890
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Mailing Address
-- MICHELLE COLLANTES PA-C
1801 E KATELLA AVE
ANAHEIM, CA 92805-6673
Phone number:
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