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1417456351
PHYLLIS CRISOSTOMO CARROLL
RICHMOND, CA
NPI
1417456351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 9008368)
Enumeration Date
2018-02-06
Last Update Date
2024-12-11
Business Address
PHYLLIS CRISOSTOMO CARROLL FNP-C
2727 MACDONALD AVE
RICHMOND, CA 94804-3006
Phone number: 510-236-6990
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Mailing Address
PHYLLIS CRISOSTOMO CARROLL FNP-C
2727 MACDONALD AVE
RICHMOND, CA 94804-3006
Phone number: 510-236-6990
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