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1558319079
NANETTE M MICKIEWICZ
SANTA CRUZ, CA
NPI
1558319079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CA G646700)
Enumeration Date
2006-05-05
Last Update Date
2012-02-09
Business Address
Dr. NANETTE M MICKIEWICZ MD
1555 SOQUEL DR
SANTA CRUZ, CA 95065-1705
Phone number: 831-462-7512
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Mailing Address
Dr. NANETTE M MICKIEWICZ MD
700 FREDERICK ST STE 203
SANTA CRUZ, CA 95062-2239
Phone number: 831-462-7512
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