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1093885253
ELLEN MARIE ROTH
FONTANA, CA
NPI
1093885253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 436360)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- ELLEN MARIE ROTH C.R.N.A.
9961 SIERRA AVE ANESTHESIA DEPARTMENT
FONTANA, CA 92335-6720
Phone number: 909-427-7162
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Mailing Address
-- ELLEN MARIE ROTH C.R.N.A.
475 E CYPRESS AVE APT. #302
REDLANDS, CA 92373-6169
Phone number: 909-792-1918
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