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1457190472
ISABELLA AMYTHYST PARKS
GRASS VALLEY, CA
NPI
1457190472
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Former Name
ISABELLA AMYTHYST RUSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
ISABELLA AMYTHYST PARKS
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
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Mailing Address
ISABELLA AMYTHYST PARKS
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number:
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