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1992805733
TRACI M PRUSSEL
SACRAMENTO, CA
NPI
1992805733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP10313)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- TRACI M PRUSSEL NP
5301 F ST #220
SACRAMENTO, CA 95819-3226
Phone number: 916-455-8000
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Mailing Address
-- TRACI M PRUSSEL NP
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 800-470-0071
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