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1235919812
JIJA ISSAC
CARMICHAEL, CA
NPI
1235919812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95026471)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
JIJA ISSAC
6555 COYLE AVE
CARMICHAEL, CA 95608-0302
Phone number: 650-784-5031
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Mailing Address
JIJA ISSAC
5217 FANDANGO LOOP
ROSEVILLE, CA 95747-4377
Phone number: 650-784-5031
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