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1104163484
GENEVIEVE THERESE BUCKLEY
GRASS VALLEY, CA
NPI
1104163484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 22688)
Enumeration Date
2013-01-07
Last Update Date
2017-08-17
Business Address
-- GENEVIEVE THERESE BUCKLEY FNP-C
280 SIERRA COLLEGE DR STE 120
GRASS VALLEY, CA 95945-5763
Phone number: 530-477-4480
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Mailing Address
-- GENEVIEVE THERESE BUCKLEY FNP-C
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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