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1376159673
MARY ELLEN HAZLE
GLENDALE, CA
NPI
1376159673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004160)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
Mrs. MARY ELLEN HAZLE FNP
1219 W GLENOAKS BLVD
GLENDALE, CA 91201-2201
Phone number: 818-662-5005
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Mailing Address
Mrs. MARY ELLEN HAZLE FNP
1349 RUBERTA AVE
GLENDALE, CA 91201-1409
Phone number: 818-257-4754
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