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Individual

KAITLIN JEAN BAZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681-4004
(214) 493-6228
Mailing address
7806 BRIJETTA DR, FRISCO, TX 75034-5482
(214) 493-6228

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1168775
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/29/2024
Last updated
04/02/2025
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