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Organization
MERCY MEDICAL GROUP
Active
Organization
MERCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SIEBER (CREDENTIALING SPECIALIST)
(916) 733-3411
Entity
Organization
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3411
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19332
CA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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