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Individual

MRS. MICHELLE ANN BOHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
11301 WILSHIRE BLVD, BLDG 5000 RM 4080, LOS ANGELES, CA 90073-1003
(818) 335-1114
Mailing address
17224 MIDWOOD DR, GRANADA HILLS, CA 91344-2452
(818) 335-1114

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
17543
CA

Other

Enumeration date
06/18/2008
Last updated
06/18/2008
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