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1851709414
MICHELLE LAKSANA
FONTANA, CA
NPI
1851709414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 51795)
Enumeration Date
2014-07-28
Last Update Date
2017-09-07
Business Address
-- MICHELLE LAKSANA PA-C
16465 SIERRA LAKES PKWY STE. 300
FONTANA, CA 92336-1242
Phone number: 909-429-2864
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Mailing Address
-- MICHELLE LAKSANA PA-C
16465 SIERRA LAKES PKWY STE. 300
FONTANA, CA 92336-1242
Phone number: 909-429-2864
Copy
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