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1114284122
ELLEN MARIE GARDNER
SANTA ROSA, CA
NPI
1114284122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 374438)
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
-- ELLEN MARIE GARDNER
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4900
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Mailing Address
-- ELLEN MARIE GARDNER
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4900
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