Individual
DEBRA MICHELLE BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 735-2446
Mailing address
23988 LONE PINE DR, MORENO VALLEY, CA 92557-2964
(916) 595-4844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016461
CA
Other
Enumeration date
03/24/2020
Last updated
05/14/2021
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