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1942552344
CATHERINE CHANDAVONG
ROSEVILLE, CA
NPI
1942552344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 21878)
Enumeration Date
2012-10-09
Last Update Date
2021-12-30
Business Address
Ms. CATHERINE CHANDAVONG NP
3001 DOUGLAS BLVD STE 150
ROSEVILLE, CA 95661-3853
Phone number: 916-241-9844
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Mailing Address
Ms. CATHERINE CHANDAVONG NP
15 MARILLA CT
SACRAMENTO, CA 95835-2431
Phone number: 916-524-0368
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