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1023543345
ERICA TENDALL
FAIRFIELD, CA
NPI
1023543345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 11346)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- ERICA TENDALL MSP
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533-3552
Phone number: 707-646-4150
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Mailing Address
-- ERICA TENDALL MSP
7404 SANTA SUSANA WAY
FAIR OAKS, CA 95628-6742
Phone number:
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