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1164626644
NANCY A DERTHICK
SACRAMENTO, CA
NPI
1164626644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 149460)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
-- NANCY A DERTHICK N.P.
2432 LOMA VISTA DR
SACRAMENTO, CA 95825-0310
Phone number: 916-489-0900
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Mailing Address
-- NANCY A DERTHICK N.P.
2432 LOMA VISTA DR
SACRAMENTO, CA 95825-0310
Phone number: 916-489-0900
Copy
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