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1730567413
DIANA AZELTINE
VALLEJO, CA
NPI
1730567413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA 639229)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- DIANA AZELTINE Registered Nurse
1617 BROADWAY ST
VALLEJO, CA 94590-2406
Phone number: 707-556-3855
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Mailing Address
-- DIANA AZELTINE Registered Nurse
2078 MARAZZANI DR
MARTINEZ, CA 94553-4378
Phone number: 707-495-4703
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