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1609360882
THARA NAZARETH
VACAVILLE, CA
NPI
1609360882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA 176047)
Enumeration Date
2018-06-20
Last Update Date
2022-08-29
Business Address
THARA NAZARETH MD
1119 E MONTE VISTA AVE
VACAVILLE, CA 95688-3009
Phone number: 707-469-4610
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Mailing Address
THARA NAZARETH MD
1119 E MONTE VISTA AVE
VACAVILLE, CA 95688-3009
Phone number:
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