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SANTA ROSA, CA
NPI1366889024
Entity TypeOrganization
Authorized ContactGIAN NHAN
Secretary
707-328-8789
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2013-06-04
Last Update Date2013-06-04
Business Address
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728 MENDOCINO AVE
SANTA ROSA, CA 95401-4804
Phone number: 707-483-7227
Mailing Address
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728 MENDOCINO AVE
SANTA ROSA, CA 95401-4804
Phone number: 707-483-7227