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1003154287
MALISSA BLAIR
FAIRFIELD, CA
NPI
1003154287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 801208)
Enumeration Date
2013-01-23
Last Update Date
2013-01-25
Business Address
-- MALISSA BLAIR RN
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-750-3000
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Mailing Address
-- MALISSA BLAIR RN
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-447-3504
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