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1417018706
PATRICIA L. ENSRUD
SANTA ROSA, CA
NPI
1417018706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 226827)
Enumeration Date
2006-12-12
Last Update Date
2014-07-01
Business Address
PATRICIA L. ENSRUD
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number: 707-565-4793
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Mailing Address
PATRICIA L. ENSRUD
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number:
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