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1477647931
HEATHER E LUCAS ROSS
GRASS VALLEY, CA
NPI
1477647931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A94676)
Enumeration Date
2006-10-02
Last Update Date
2019-05-15
Business Address
HEATHER E LUCAS ROSS MD
280 SIERRA COLLEGE DR STE 120
GRASS VALLEY, CA 95945-5763
Phone number: 530-477-4480
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Mailing Address
HEATHER E LUCAS ROSS MD
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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