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1083311930
VANESSA RENEE JELLISON
SANTA ROSA, CA
NPI
1083311930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
VANESSA RENEE JELLISON
1260 N DUTTON AVE STE 220
SANTA ROSA, CA 95401-4686
Phone number: 707-568-2300
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Mailing Address
VANESSA RENEE JELLISON
1260 N DUTTON AVE STE 220
SANTA ROSA, CA 95401-4686
Phone number: 707-568-2300
Copy
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