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1306329438
MARLON S BAZAN
LIBERAL, KS
NPI
1306329438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: KS 1502129)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
MARLON S BAZAN PA-C
315 W 15TH ST
LIBERAL, KS 67901-2455
Phone number: 620-629-6477
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Mailing Address
MARLON S BAZAN PA-C
PO BOX 1340
LIBERAL, KS 67905-1340
Phone number: 620-629-6638
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