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Individual

SYNYA KAUHANE BALANON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5053
Mailing address
311 SAGE SPARROW CIR, VACAVILLE, CA 95687-7752
(210) 365-4041

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
01055199A
IN

Other

Enumeration date
06/04/2006
Last updated
12/13/2021
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