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1326151374
MARY PAT DEGAGNE
SANTA ROSA, CA
NPI
1326151374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: CA 225)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
MARY PAT DEGAGNE PNP
500 DOYLE PARK DR SUITE 100
SANTA ROSA, CA 95405-4558
Phone number: 707-544-6090
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Mailing Address
MARY PAT DEGAGNE PNP
500 DOYLE PARK DR SUITE 100
SANTA ROSA, CA 95405-4558
Phone number: 707-544-6090
Copy
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