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1417513490
TATIANA MUDRENKO
ROSEVILLE, CA
NPI
1417513490
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Other Name
TATIANA CONDRIUC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2019-05-15
Last Update Date
2022-01-11
Business Address
Mrs. TATIANA MUDRENKO PA
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 877-457-4772
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Mailing Address
Mrs. TATIANA MUDRENKO PA
2555 NEWCASTLE RD
NEWCASTLE, CA 95658-9751
Phone number:
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