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1225495757
DENISE ELLISON
SAN PABLO, CA
NPI
1225495757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 22040)
Enumeration Date
2016-01-28
Last Update Date
2016-01-28
Business Address
-- DENISE ELLISON
3160 GARRITY WAY
SAN PABLO, CA 94806-1983
Phone number: 510-758-7462
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Mailing Address
-- DENISE ELLISON
3160 GARRITY WAY
SAN PABLO, CA 94806-1983
Phone number:
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