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1770054678
KAYLA ELYSE MEDINA
SANTA ROSA, CA
NPI
1770054678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95009728)
Enumeration Date
2018-12-17
Last Update Date
2024-09-30
Business Address
MRS. KAYLA ELYSE MEDINA NP
1140 SONOMA AVE STE 3
SANTA ROSA, CA 95405-4817
Phone number: 707-527-7656
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Mailing Address
MRS. KAYLA ELYSE MEDINA NP
1140 SONOMA AVE STE 3
SANTA ROSA, CA 95405-4817
Phone number: 707-527-7656
Copy
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