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1093087595
TRACEY IYAMU-SANUSI
ELK GROVE, CA
NPI
1093087595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009824)
Enumeration Date
2012-01-31
Last Update Date
2022-11-08
Business Address
TRACEY IYAMU-SANUSI FNP
5040 LAGUNA BLVD
ELK GROVE, CA 95758-4147
Phone number: 866-389-2727
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Mailing Address
TRACEY IYAMU-SANUSI FNP
1350 FLORIN RD
SACRAMENTO, CA 95822-4202
Phone number: 866-389-2727
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