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Individual

DR. BRYSYN BARSATAN ILABAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1803 S HARBOR BLVD, ANAHEIM, CA 92802-3509
(714) 817-9116
Mailing address
6 GOLDENBUSH, IRVINE, CA 92604-2839

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
90073
CA

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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