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1447647391
TIMOTHY CERECERES
CARMICHAEL, CA
NPI
1447647391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 958001706)
Enumeration Date
2015-04-17
Last Update Date
2015-04-17
Business Address
Mr. TIMOTHY CERECERES NP
4156 MANZANITA AVE
CARMICHAEL, CA 95608-1496
Phone number: 916-488-6337
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Mailing Address
Mr. TIMOTHY CERECERES NP
4156 MANZANITA AVE
CARMICHAEL, CA 95608-1496
Phone number: 916-488-6337
Copy
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