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1922395979
VANESSA LEE DESOUSA
SANTA ROSA, CA
NPI
1922395979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 20A13179)
Enumeration Date
2011-06-28
Last Update Date
2021-12-15
Business Address
Dr. VANESSA LEE DESOUSA D.O.
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403-1719
Phone number: 707-393-4033
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Mailing Address
Dr. VANESSA LEE DESOUSA D.O.
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403-1719
Phone number: 707-393-4033
Copy
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