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1013199389
ELISA GALLEGOS-JACKSON
BERKELEY, CA
NPI
1013199389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN493217)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
ELISA GALLEGOS-JACKSON RN, PHN
1947 CENTER ST 2ND FLOOR
BERKELEY, CA 94704-1169
Phone number: 510-981-7684
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Mailing Address
ELISA GALLEGOS-JACKSON RN, PHN
1947 CENTER ST 2ND FLOOR
BERKELEY, CA 94704-1169
Phone number: 510-981-7684
Copy
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