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1831750306
PRASANNA BASTOLA
HEMET, CA
NPI
1831750306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A177433)
Enumeration Date
2019-06-25
Last Update Date
2024-04-10
Business Address
Dr. PRASANNA BASTOLA MD
1023 E FLORIDA AVE
HEMET, CA 92543-4510
Phone number: 951-599-8403
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Mailing Address
Dr. PRASANNA BASTOLA MD
1023 E FLORIDA AVE
HEMET, CA 92543-4510
Phone number: 951-599-8403
Copy
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