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1881143543
ANNIE DEKRUSE
EUREKA, CA
NPI
1881143543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 390675)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
-- ANNIE DEKRUSE RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- ANNIE DEKRUSE RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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