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1902976236
EL ROSE MEDICAL GROUP
PETALUMA, CA
NPI
1902976236
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Entity Type
Organization
Authorized Contact
DAVID A SISLER
Owner
707-763-9491
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-11-08
Last Update Date
2008-07-08
Business Address
EL ROSE MEDICAL GROUP
24 WEST EL ROSE AVE
PETALUMA, CA 94952
Phone number: 707-763-9891
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Mailing Address
EL ROSE MEDICAL GROUP
24 WEST EL ROSE AVE
PETALUMA, CA 94952
Phone number: 707-763-9891
Copy
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