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1619938297
ELIZABETH GROENDYKE WHITE
COSTA MESA, CA
NPI
1619938297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CA 366510)
Enumeration Date
2006-03-31
Last Update Date
2011-12-20
Business Address
Mrs. ELIZABETH GROENDYKE WHITE RNP
601 W 19TH ST
COSTA MESA, CA 92627-5060
Phone number: 949-548-8830
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Mailing Address
Mrs. ELIZABETH GROENDYKE WHITE RNP
28232 PASEO ANDANTE
SAN JUAN CAPISTRANO, CA 92675-3334
Phone number: 949-488-2873
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