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1821107798
ELLEN PENNELL HAGEDORN
CONCORD, CA
NPI
1821107798
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Former Name
ELLEN PENNELL NURKSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CA NMW 1711)
Enumeration Date
2006-08-30
Last Update Date
2016-06-08
Business Address
MS. ELLEN PENNELL HAGEDORN CNM
2185 PACHECO ST
CONCORD, CA 94520-2309
Phone number: 925-676-0505
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Mailing Address
MS. ELLEN PENNELL HAGEDORN CNM
2185 PACHECO ST
CONCORD, CA 94520-2309
Phone number: 925-676-0505
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