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1689150716
DESALEGN EJIGU
ROSEVILLE, CA
NPI
1689150716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA np95009204)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
DESALEGN EJIGU
3001 DOUGLAS BLVD STE 325
ROSEVILLE, CA 95661-4289
Phone number: 916-241-9844
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Mailing Address
DESALEGN EJIGU
3001 DOUGLAS BLVD STE 325
ROSEVILLE, CA 95661-4289
Phone number:
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