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1316247737
MARIANNE WACHALOVSKY
FAIRFIELD, CA
NPI
1316247737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 20316)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
Ms. MARIANNE WACHALOVSKY FNP
5140 BUSINESS CENTER DR SUITE 130
FAIRFIELD, CA 94534-1793
Phone number: 707-646-4218
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Mailing Address
Ms. MARIANNE WACHALOVSKY FNP
818 STILLSON DR
PETALUMA, CA 94954-6854
Phone number:
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