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1992468409
CHARITO FEDDERSEN
VALLEJO, CA
NPI
1992468409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018906)
Enumeration Date
2021-10-21
Last Update Date
2021-11-02
Business Address
Mrs. CHARITO FEDDERSEN APRN
415 GEORGIA ST
VALLEJO, CA 94590-6004
Phone number: 707-556-8100
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Mailing Address
Mrs. CHARITO FEDDERSEN APRN
PO BOX 22210
OAKLAND, CA 94623-2210
Phone number:
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