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1881880110
BEN TANTAYANUBUTR
LANCASTER, CA
NPI
1881880110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A95887)
Enumeration Date
2007-09-20
Last Update Date
2021-12-06
Business Address
Dr. BEN TANTAYANUBUTR MD
43112 15TH ST W
LANCASTER, CA 93534-6219
Phone number: 818-375-2809
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Mailing Address
Dr. BEN TANTAYANUBUTR MD
43112 15TH ST W
LANCASTER, CA 93534-6219
Phone number:
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