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1205169117
GRACE SO
SACRAMENTO, CA
NPI
1205169117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A108392)
Enumeration Date
2009-09-09
Last Update Date
2023-12-08
Business Address
GRACE SO MD
1625 STOCKTON BLVD STE 106
SACRAMENTO, CA 95816-7098
Phone number: 916-262-9002
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Mailing Address
GRACE SO MD
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number:
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