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1992961767
KELLYE SUSAN BRASSEL
SANTA ROSA, CA
NPI
1992961767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN506393)
Enumeration Date
2008-07-31
Last Update Date
2014-06-26
Business Address
-- KELLYE SUSAN BRASSEL
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA 95409-6519
Phone number: 707-565-6387
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Mailing Address
-- KELLYE SUSAN BRASSEL
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA 95409-6519
Phone number: 707-565-6387
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