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1174269310
BYRON CHARLES BLEDSOE
SANTA ANA, CA
NPI
1174269310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95020853)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
BYRON CHARLES BLEDSOE FNP
520 N MAIN ST STE 120
SANTA ANA, CA 92701-4623
Phone number: 949-300-7548
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Mailing Address
BYRON CHARLES BLEDSOE FNP
520 N MAIN ST STE 120
SANTA ANA, CA 92701-4623
Phone number: 949-300-7548
Copy
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