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1033977970
TONYA VITAKE
REDDING, CA
NPI
1033977970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95131868)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
TONYA VITAKE
1901 VICTOR AVE
REDDING, CA 96002-0412
Phone number: 530-221-0193
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Mailing Address
TONYA VITAKE
PO BOX 494369
REDDING, CA 96049-4369
Phone number: 530-592-3325
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