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1336397744
MARY E CARROLL-AMBROSE
SANTA ROSA, CA
NPI
1336397744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 18355)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
MRS. MARY E CARROLL-AMBROSE NP
3325 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-576-4953
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Mailing Address
MRS. MARY E CARROLL-AMBROSE NP
5135 OAK PARK WAY
SANTA ROSA, CA 95409-3732
Phone number: 707-576-5561
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