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Organization
WOMENS HEALTH MEDICAL GROUP
Active
Organization
WOMENS HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KOLLEEN OBANNON SQUIRES CNP (NURSE PRACTITIONER)
(818) 249-6636
Entity
Organization
Contact information
Practice address
3469 N VERDUGO RD, GLENDALE, CA 91208
(818) 249-6636
(818) 249-5074
Mailing address
3469 N VERDUGO RD, GLENDALE, CA 91208
(818) 249-6636
(818) 249-5074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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