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1447663133
ELISSA WOODRUFF
SAN RAFAEL, CA
NPI
1447663133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: CA PSY26236)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
Dr. ELISSA WOODRUFF Ph.D.
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3410
Phone number: 415-491-3013
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Mailing Address
Dr. ELISSA WOODRUFF Ph.D.
988 FULTON ST 321
SAN FRANCISCO, CA 94117-1770
Phone number: 972-345-6705
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