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1265582969
ALICE CANNAN
BERKELEY, CA
NPI
1265582969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 6879)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- ALICE CANNAN N.P.
2915 TELEGRAPH AVE STE 200
BERKELEY, CA 94705-2030
Phone number: 510-845-8047
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Mailing Address
-- ALICE CANNAN N.P.
10470 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2528
Phone number: 916-854-6666
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