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1174292767
ZEYERUSALEM WOLDESILASSE
SACRAMENTO, CA
NPI
1174292767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP95016910)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
ZEYERUSALEM WOLDESILASSE
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2506
Phone number: 916-448-1770
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Mailing Address
ZEYERUSALEM WOLDESILASSE
5201 NECTAR CIR
ELK GROVE, CA 95757-4333
Phone number: 602-570-4281
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