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1790951598
ROBERTA L FOSDICK
EUREKA, CA
NPI
1790951598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 207314)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
-- ROBERTA L FOSDICK LVN
2012 SUMMER ST
EUREKA, CA 95501-2839
Phone number: 707-616-9218
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Mailing Address
-- ROBERTA L FOSDICK LVN
PO BOX 3139
EUREKA, CA 95502-3139
Phone number: 707-616-9218
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