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1205488905
IVETTE CARRILLO GONZALEZ
SANTA ROSA, CA
NPI
1205488905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
IVETTE CARRILLO GONZALEZ
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: 707-526-6902
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Mailing Address
IVETTE CARRILLO GONZALEZ
1100 LINCOLN AVE STE 108
NAPA, CA 94558-4908
Phone number: 707-255-3719
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