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1164415501
MARYA MEI BOLYANATZ
SAN LUIS OBISPO, CA
NPI
1164415501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 10508)
Enumeration Date
2005-08-30
Last Update Date
2015-12-26
Business Address
-- MARYA MEI BOLYANATZ FNP
1250 PEACH STREET SUITE A
SAN LUIS OBISPO, CA 93401-2837
Phone number: 805-543-4043
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Mailing Address
-- MARYA MEI BOLYANATZ FNP
117 WEST BUNNY AVENUE
SANTA MARIA, CA 93458-2805
Phone number: 805-543-4043
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