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1780411504
CHAD ANDY
SACRAMENTO, CA
NPI
1780411504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95031293)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
CHAD ANDY NP
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
CHAD ANDY NP
23417 CLEARPOOL PL
HARBOR CITY, CA 90710
Phone number: 817-881-8187
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