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1770049165
ANGIE DAVIS
SANTA ROSA, CA
NPI
1770049165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011083)
Enumeration Date
2019-02-11
Last Update Date
2021-05-19
Business Address
ANGIE DAVIS NP-C
2800 CLEVELAND AVE STE A
SANTA ROSA, CA 95403-2784
Phone number: 079-217-4477
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Mailing Address
ANGIE DAVIS NP-C
2800 CLEVELAND AVE STE A
SANTA ROSA, CA 95403-2784
Phone number: 707-921-7447
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