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1932565181
THERESIA SOETJIPTO
SAN FRANCISCO, CA
NPI
1932565181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 21074)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
Ms. THERESIA SOETJIPTO MS,NP
505 PARNASSUS AVE # M-361 CAMPUS BOX 0628
SAN FRANCISCO, CA 94143-2204
Phone number: 415-353-1300
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Mailing Address
Ms. THERESIA SOETJIPTO MS,NP
505 PARNASSUS AVE # M-361 CAMPUS BOX 0628
SAN FRANCISCO, CA 94143-2204
Phone number:
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