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Individual

EVAN ALFRED BAILON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3530 ATLANTIC AVE STE 108, LONG BEACH, CA 90807-4569
(310) 613-4065
Mailing address
227 W 234TH PL, CARSON, CA 90745-5212
(310) 613-4065

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CA

Other

Enumeration date
02/23/2023
Last updated
06/27/2023
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