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1811546088
ELIZANI BAYARDO
SAN DIEGO, CA
NPI
1811546088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
ELIZANI BAYARDO
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 679-532-6400
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Mailing Address
ELIZANI BAYARDO
922 W 2ND AVE
SAN MANUEL, AZ 85631-1246
Phone number:
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