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1417458654
ELEANNA ALEXIA KENNEDY
SANTA ROSA, CA
NPI
1417458654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008588)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
ELEANNA ALEXIA KENNEDY
751 LOMBARDI CT
SANTA ROSA, CA 95407-6798
Phone number: 707-547-2222
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Mailing Address
ELEANNA ALEXIA KENNEDY
979 STANISLAUS WAY
SANTA ROSA, CA 95401-7812
Phone number: 707-799-5591
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