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1174025076
JAMELL BAXTER
SANTA ROSA, CA
NPI
1174025076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 620230)
Enumeration Date
2018-03-06
Last Update Date
2019-03-21
Business Address
JAMELL BAXTER Registered Nurse
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-565-6900
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Mailing Address
JAMELL BAXTER Registered Nurse
710 E SAN YSIDRO BLVD # 1260
SAN YSIDRO, CA 92173-3123
Phone number:
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