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1992146948
JULINE NATALIA CARABALLO FONSECA
SANTA ROSA, CA
NPI
1992146948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: CA A-155471)
Enumeration Date
2013-07-07
Last Update Date
2020-08-04
Business Address
JULINE NATALIA CARABALLO FONSECA M.D.
130 STONY POINT RD STE E
SANTA ROSA, CA 95401-4120
Phone number: 707-525-0211
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Mailing Address
JULINE NATALIA CARABALLO FONSECA M.D.
130 STONY POINT RD STE E
SANTA ROSA, CA 95401-4120
Phone number: 707-525-0211
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