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1245331537
ANNA ALEKSEEVNA PETROVICH
CARMICHAEL, CA
NPI
1245331537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A8324)
Enumeration Date
2006-09-26
Last Update Date
2012-02-13
Business Address
-- ANNA ALEKSEEVNA PETROVICH D.O.
6555 COYLE AVE
CARMICHAEL, CA 95608-0302
Phone number: 916-536-2500
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Mailing Address
-- ANNA ALEKSEEVNA PETROVICH D.O.
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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