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1114903192
JEANNETTE ELAINE GRACE
SANTA ROSA, CA
NPI
1114903192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT21833)
Enumeration Date
2005-12-21
Last Update Date
2007-07-08
Business Address
-- JEANNETTE ELAINE GRACE P.T.
795 FARMERS LN SUITE 10
SANTA ROSA, CA 95405-6718
Phone number: 707-571-7615
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Mailing Address
-- JEANNETTE ELAINE GRACE P.T.
795 FARMERS LN SUITE 10
SANTA ROSA, CA 95405-6718
Phone number: 707-571-7615
Copy
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