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Individual

AVA MURIELLE HANLYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1556 N D ST, SAN BERNARDINO, CA 92405-4710
(909) 885-0652
Mailing address
20327 EDMUND RD, RIVERSIDE, CA 92508-2917
(951) 809-8988

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95026913
CA

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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