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1174770457
WANDA F. WILLIS
SACRAMENTO, CA
NPI
1174770457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 16993)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
-- WANDA F. WILLIS
1400 N A ST
SACRAMENTO, CA 95811-0612
Phone number: 916-440-1500
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Mailing Address
-- WANDA F. WILLIS
1400 N A ST
SACRAMENTO, CA 95811-0612
Phone number: 916-440-1500
Copy
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