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1013675370
GENESIS CALLEJAS-MIR
SANTA ROSA, CA
NPI
1013675370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95018148)
Enumeration Date
2021-12-03
Last Update Date
2022-04-14
Business Address
GENESIS CALLEJAS-MIR NP
1501 MENDOCINO AVE
SANTA ROSA, CA 95401-4332
Phone number: 707-527-4445
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Mailing Address
GENESIS CALLEJAS-MIR NP
1501 MENDOCINO AVE
SANTA ROSA, CA 95401-4395
Phone number: 707-527-4445
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