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1275016230
CONNIE ALEJANDRINA MORENO
PETALUMA, CA
NPI
1275016230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009721)
Enumeration Date
2018-09-14
Last Update Date
2022-07-27
Business Address
CONNIE ALEJANDRINA MORENO NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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Mailing Address
CONNIE ALEJANDRINA MORENO NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
Copy
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