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1104909175
JENNIFER LYNNE EID AMMONS
SANTA ROSA, CA
NPI
1104909175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 9170)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
JENNIFER LYNNE EID AMMONS FNP
751 LOMBARDI CT SUITE A
SANTA ROSA, CA 95407-6793
Phone number: 707-547-2266
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Mailing Address
JENNIFER LYNNE EID AMMONS FNP
751 LOMBARDI CT SUITE A
SANTA ROSA, CA 95407-6793
Phone number: 707-547-2266
Copy
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