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1922009067
LISA K BANH
RIVERSIDE, CA
NPI
1922009067
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Former Name
LISA NGUYEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA pa16495)
Enumeration Date
2005-08-10
Last Update Date
2024-04-04
Business Address
-- LISA K BANH pa
9041 MAGNOLIA AVE SUITE 305
RIVERSIDE, CA 92503-3900
Phone number: 951-343-3477
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Mailing Address
-- LISA K BANH pa
9041 MAGNOLIA AVE SUITE 305
RIVERSIDE, CA 92503
Phone number: 951-343-3477
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