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1629797246
MIRIAM AVENA-MASCARENO
PETALUMA, CA
NPI
1629797246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95021379)
Enumeration Date
2022-08-25
Last Update Date
2023-02-13
Business Address
MIRIAM AVENA-MASCARENO FNP-C
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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Mailing Address
MIRIAM AVENA-MASCARENO FNP-C
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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