JEFF RICHARD BAZANELE

CAMP LEJEUNE, NC
NPI1275912701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CO  6969)
Enumeration Date2015-05-29
Last Update Date2023-10-29
Business Address
Mr. JEFF RICHARD BAZANELE OT
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 505-944-7224
Mailing Address
Mr. JEFF RICHARD BAZANELE OT
1101 LOPEZ ROAD SW
ALBUQUERQUE, NM 87105
Phone number: 505-877-7060
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