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Individual

DAWN O BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
25455 BARTON RD, SUITE 204B, LOMA LINDA, CA 92354-3128
(909) 558-6600
(909) 558-3905
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
(909) 558-3905

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17326
CA

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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