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1215255062
JACEY JEAN RODRIGUEZ-SERVA
SONORA, CA
NPI
1215255062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19693)
Enumeration Date
2010-05-04
Last Update Date
2015-11-19
Business Address
-- JACEY JEAN RODRIGUEZ-SERVA F.N.P.
690 GUZZI LN STE C
SONORA, CA 95370-5289
Phone number: 209-532-1919
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Mailing Address
-- JACEY JEAN RODRIGUEZ-SERVA F.N.P.
690 GUZZI LN STE C
SONORA, CA 95370-5289
Phone number: 209-532-1919
Copy
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