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1053684175
JOAN KATHLEEN RISSE
SANTA ROSA, CA
NPI
1053684175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 219183)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- JOAN KATHLEEN RISSE
112 CHILDRENS CIR
SANTA ROSA, CA 95409-6558
Phone number: 707-565-6360
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Mailing Address
-- JOAN KATHLEEN RISSE
4976 HEATHER GLEN CIR
SANTA ROSA, CA 95405-7943
Phone number: 707-565-6360
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