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Individual

MRS. AYESHA OGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 874-4050
Mailing address
2318 W AVENUE P12, PALMDALE, CA 93551-6021
(310) 430-0190
(661) 526-4854

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
650644
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95006530
CA

Other

Enumeration date
04/07/2009
Last updated
10/02/2024
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