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1174565485
ELAINE THERESE VAN GUNDY
ROSEVILLE, CA
NPI
1174565485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA C43153)
Enumeration Date
2006-06-12
Last Update Date
2007-07-09
Business Address
-- ELAINE THERESE VAN GUNDY M.D., F.A.A.P.
1451 SECRET RAVINE PKWY SUITE 150
ROSEVILLE, CA 95661-4051
Phone number: 916-580-2420
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Mailing Address
-- ELAINE THERESE VAN GUNDY M.D., F.A.A.P.
1451 SECRET RAVINE PKWY SUITE 150
ROSEVILLE, CA 95661-4051
Phone number: 916-580-2420
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