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1851135941
JOHANNA BAZAN
GLENDALE, CA
NPI
1851135941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95202408)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
JOHANNA BAZAN
1509 WILSON TER
GLENDALE, CA 91206-4007
Phone number: 818-863-4366
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Mailing Address
JOHANNA BAZAN
1509 WILSON TER
GLENDALE, CA 91206-4007
Phone number:
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