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1740538891
MICHELLE LEMOYNE CAMPOS
SANTA ROSA, CA
NPI
1740538891
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Former Name
MICHELLE LEMOYNE BAUER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA 22420)
Enumeration Date
2012-08-21
Last Update Date
2022-05-27
Business Address
MICHELLE LEMOYNE CAMPOS PA-C
401 BICENTENNIAL WAY SUITE 120 MOB1
SANTA ROSA, CA 95403-2149
Phone number: 916-812-3104
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Mailing Address
MICHELLE LEMOYNE CAMPOS PA-C
401 BICENTENNIAL WAY SUITE 120 MOB1
SANTA ROSA, CA 95403-2149
Phone number: 916-812-3104
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