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Individual

EMILIE LAZATIN KEDILERLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5562 PHILADELPHIA ST STE 301, CHINO, CA 91710-2499
(214) 868-4361
Mailing address
8329 JAMIESON AVE, NORTHRIDGE, CA 91325-3931
(818) 960-9118

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015633
CA

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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