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Individual
VIRGINIA MABASA
Active
Individual
VIRGINIA MABASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16259
CA
363AM0700X
Medical Physician Assistant
PA16259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16259
LICENSE
CA
Enumeration date
12/02/2005
Last updated
05/28/2025
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