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1700640752
MARISA ANGELENE KAUTZ
STOCKTON, CA
NPI
1700640752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029291)
Enumeration Date
2024-02-09
Last Update Date
2024-03-05
Business Address
MARISA ANGELENE KAUTZ FNP
1801 E MARCH LN STE A170
STOCKTON, CA 95210-6673
Phone number: 209-477-5552
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Mailing Address
MARISA ANGELENE KAUTZ FNP
1801 E MARCH LN STE A170
STOCKTON, CA 95210-6673
Phone number: 209-477-5552
Copy
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