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1932546744
ULLRIKE JOHANNA CHILDS
SANTA ROSA, CA
NPI
1932546744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 792695)
Enumeration Date
2013-06-03
Last Update Date
2014-06-27
Business Address
ULLRIKE JOHANNA CHILDS
2350 PROFESSIONAL DR
SANTA ROSA, CA 95403-3018
Phone number: 707-565-4963
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Mailing Address
ULLRIKE JOHANNA CHILDS
PO BOX 698
CALISTOGA, CA 94515-0698
Phone number:
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