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1386991115
KATHRYN BAZ FASSERO
DANVILLE, CA
NPI
1386991115
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Former Name
KATHRYN LYNN BAZILAUSKAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 21661)
Enumeration Date
2012-08-10
Last Update Date
2017-11-29
Business Address
Mrs. KATHRYN BAZ FASSERO NP
360 ROSE AVE
DANVILLE, CA 94526-3320
Phone number: 925-838-4363
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Mailing Address
Mrs. KATHRYN BAZ FASSERO NP
220 LIVORNA HEIGHTS RD
ALAMO, CA 94507-1325
Phone number: 310-497-2925
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