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1447609805
KRISTINE GRACE DELA CRUZ VAN TASSEL
ELK GROVE, CA
NPI
1447609805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004410)
Enumeration Date
2016-06-07
Last Update Date
2018-09-28
Business Address
KRISTINE GRACE DELA CRUZ VAN TASSEL FNP-C
7811 LAGUNA BLVD STE 161
ELK GROVE, CA 95758-7949
Phone number: 916-877-7778
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Mailing Address
KRISTINE GRACE DELA CRUZ VAN TASSEL FNP-C
8657 GOSSAMER WAY
ELK GROVE, CA 95624-3265
Phone number: 916-801-5221
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