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1922082924
VIRGINIA MABASA
PASADENA, CA
NPI
1922082924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA16259)
Enumeration Date
2005-12-02
Last Update Date
2012-04-09
Business Address
-- VIRGINIA MABASA PA
1017 S FAIR OAKS AVE
PASADENA, CA 91105-2621
Phone number: 626-403-6200
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Mailing Address
-- VIRGINIA MABASA PA
FILE 50475
LOS ANGELES, CA 90074-0475
Phone number: 626-403-6200
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