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1053448043
KELLY K. ROSS MANASHIL
SACRAMENTO, CA
NPI
1053448043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 12842)
Enumeration Date
2007-02-27
Last Update Date
2022-07-21
Business Address
Ms. KELLY K. ROSS MANASHIL NP
4501 X ST
SACRAMENTO, CA 95817-2229
Phone number: 916-734-5959
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Mailing Address
Ms. KELLY K. ROSS MANASHIL NP
4501 X ST STE 3016
SACRAMENTO, CA 95817-2229
Phone number: 916-734-3772
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