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1255013322
SCOTTIE WAN
SACRAMENTO, CA
NPI
1255013322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95026203)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
SCOTTIE WAN NP
4860 Y ST
SACRAMENTO, CA 95817-2307
Phone number: 916-734-2737
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Mailing Address
SCOTTIE WAN NP
4860 Y ST
SACRAMENTO, CA 95817-2307
Phone number:
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