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Individual

ELIZABETH LYNN GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4530
Mailing address
314 24TH AVE, SAN FRANCISCO, CA 94121-2013

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775126
CA

Other

Enumeration date
08/29/2012
Last updated
07/07/2014
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