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1972839462
JENNIFER A. ELLSTROM
RIVERSIDE, CA
NPI
1972839462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R-134002-8)
Enumeration Date
2009-10-19
Last Update Date
2013-12-10
Business Address
-- JENNIFER A. ELLSTROM C.NP
7117 BROCKTON AVE RIVERSIDE MEDICAL CLINIC
RIVERSIDE, CA 92506-2658
Phone number: 951-784-3269
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Mailing Address
-- JENNIFER A. ELLSTROM C.NP
7117 BROCKTON AVE RIVERSIDE MEDICAL CLINIC
RIVERSIDE, CA 92506-2658
Phone number: 951-784-3269
Copy
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