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MISS MEGAN ANN BAHNSON

>> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1700553328

Individual Registrant:
MISS MEGAN ANN BAHNSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
340 E 1ST AVE STE 102  BROOMFIELD, CO 80020-2454 US
Tel: 818-241-6780  Fax: --

Contact information for business:
1055 E COLORADO BLVD STE 560  PASADENA, CA 91106-2380 US
Tel: 818-241-6780  Fax: --

Registration Information:
NPI: 1700553328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156F00000XEye and Vision Services Providers
Technician/Technologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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