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1104217173
ANDREA MASCORRO
GRASS VALLEY, CA
NPI
1104217173
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Other Name
ANNIE MASCORRO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 787310)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
Ms. ANDREA MASCORRO
500 CROWN POINT CIR #100
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
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Mailing Address
Ms. ANDREA MASCORRO
245 FORESTHILL AVE
AUBURN, CA 95603-4343
Phone number: 916-865-8145
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