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1134935844
OLIVIA GRACE ROOT
SAN DIEGO, CA
NPI
1134935844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95345892)
Enumeration Date
2024-12-06
Last Update Date
2024-12-06
Business Address
OLIVIA GRACE ROOT RN
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
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Mailing Address
OLIVIA GRACE ROOT RN
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-867-9624
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