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1063002756
MICHELLE TOM
SACRAMENTO, CA
NPI
1063002756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95012596)
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
MICHELLE TOM Nurse Practitioner
7767 EL RITO WAY
SACRAMENTO, CA 95831-5411
Phone number: 916-396-3738
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Mailing Address
MICHELLE TOM Nurse Practitioner
7767 EL RITO WAY
SACRAMENTO, CA 95831-5411
Phone number: 916-396-3738
Copy
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