MARLON S BAZAN

LIBERAL, KS
NPI1306329438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KS  1502129)
Enumeration Date2018-09-14
Last Update Date2018-09-14
Business Address
MARLON S BAZAN PA-C
315 W 15TH ST
LIBERAL, KS 67901-2455
Phone number: 620-629-6477
Mailing Address
MARLON S BAZAN PA-C
PO BOX 1340
LIBERAL, KS 67905-1340
Phone number: 620-629-6638
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