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1013078864
JERRY GENUNG
SANTA ROSA, CA
NPI
1013078864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 293927)
Enumeration Date
2006-12-13
Last Update Date
2014-07-07
Business Address
-- JERRY GENUNG
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4970
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Mailing Address
-- JERRY GENUNG
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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