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1346980240
SALLYANNA BAZELAIS
VALLEJO, CA
NPI
1346980240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
SALLYANNA BAZELAIS DO
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4071
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Mailing Address
SALLYANNA BAZELAIS DO
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4071
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