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Individual

ANTHONY EZIRM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8211 OCCIDENTAL RD, SEBASTOPOL, CA 95472-6424
(707) 823-0536
Mailing address
438 EDDIE LN, SEBASTOPOL, CA 95472-3425
(707) 823-8722

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/12/2022
Last updated
08/19/2022
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Product
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  • Eligibility checks
  • EDI platform