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1356739767
MARIE SHYRELL BASA
FOUNTAIN VALLEY, CA
NPI
1356739767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 673060)
Enumeration Date
2015-01-07
Last Update Date
2015-03-09
Business Address
-- MARIE SHYRELL BASA FNP - BC
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708-1303
Phone number: 714-546-6575
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Mailing Address
-- MARIE SHYRELL BASA FNP - BC
10710 ASHWORTH CIR
CERRITOS, CA 90703-2648
Phone number: 562-712-6354
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