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1003831793
ELLEN BETTY KRUUSMAGI
SANTA ROSA, CA
NPI
1003831793
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Other Name
NONE NONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G61813)
Enumeration Date
2006-07-13
Last Update Date
2013-04-18
Business Address
-- ELLEN BETTY KRUUSMAGI MD
144 STONY POINT RD
SANTA ROSA, CA 95401
Phone number: 707-521-4500
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Mailing Address
-- ELLEN BETTY KRUUSMAGI MD
144 STONY POINT RD
SANTA ROSA, CA 95401
Phone number: 707-521-4500
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