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1366719080
STEFANIE NANETTE FORRESTER
EL DORADO HILLS, CA
NPI
1366719080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22003)
Enumeration Date
2011-11-23
Last Update Date
2021-06-16
Business Address
STEFANIE NANETTE FORRESTER PAC
4987 GOLDEN FOOTHILL PKWY SUITE 200
EL DORADO HILLS, CA 95762-9364
Phone number: 916-941-7362
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Mailing Address
STEFANIE NANETTE FORRESTER PAC
205 SOUTH ST ADMINISTRATION
FORT BRAGG, CA 95437-9364
Phone number: 707-961-4088
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