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1992416747
KELSEY HANA BANZ
SANTA ROSA, CA
NPI
1992416747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-12-12
Last Update Date
2024-09-12
Business Address
KELSEY HANA BANZ
160 WIKIUP DR STE 102
SANTA ROSA, CA 95403-7776
Phone number: 510-317-1444
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Mailing Address
KELSEY HANA BANZ
160 WIKIUP DR STE 102
SANTA ROSA, CA 95403-7776
Phone number: 510-317-1444
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