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1548326341
ELLEN JANE PRODROMOU
SAN RAFAEL, CA
NPI
1548326341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner Obstetrics & Gynecology
(Licence: CA 325310)
Enumeration Date
2006-12-28
Last Update Date
2007-07-11
Business Address
ELLEN JANE PRODROMOU N.P.
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4557
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Mailing Address
ELLEN JANE PRODROMOU N.P.
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4557
Copy
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