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1205549789
AZITA BANANDARGAH
MADERA, CA
NPI
1205549789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95023261)
Enumeration Date
2022-12-30
Last Update Date
2022-12-30
Business Address
AZITA BANANDARGAH
1003 RIDGELINE RD W
MADERA, CA 93636-8152
Phone number: 310-717-0039
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Mailing Address
AZITA BANANDARGAH
1003 RIDGELINE RD W
MADERA, CA 93636-8152
Phone number: 310-717-0039
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