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1003681727
ANNIE ROQUE
OAKLAND, CA
NPI
1003681727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95000457)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
ANNIE ROQUE
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-4418
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Mailing Address
ANNIE ROQUE
1428 BONITA AVE
BERKELEY, CA 94709-1909
Phone number:
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