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Organization
ABAN WELLNESS CARE
Active
Organization
ABAN WELLNESS CARE
Active
Other names
Aban Wellness Care
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO ZEGARRA MD (MEDICAL DIRECTOR)
(702) 509-6667
Entity
Organization
Contact information
Practice address
2182 AZ - 95, BULLHEAD CITY, AZ 86442
(702) 509-6667
Mailing address
2220 COUGAR DR APT 2049, LAUGHLIN, NV 89029-1282
(702) 509-6667
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
NULL
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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