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1538234489
PHYLLIS A ANGELO
SANTA ROSA, CA
NPI
1538234489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 282719)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS A ANGELO CPNP
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403-1719
Phone number: 707-566-5327
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Mailing Address
Mrs. PHYLLIS A ANGELO CPNP
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403-1719
Phone number: 707-571-4033
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