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1093561664
JENNIVY RAPANUT TABBAY
OAKLAND, CA
NPI
1093561664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029417)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
JENNIVY RAPANUT TABBAY
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 800-607-6377
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Mailing Address
JENNIVY RAPANUT TABBAY
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number:
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