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Individual

MS. DEANNA FOSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
680 GUZZI LN, SUITE 105, SONORA, CA 95370-5288
(209) 532-0126
Mailing address
680 GUZZI LN, SUITE 105, SONORA, CA 95370-5288
(209) 532-0126

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19538
CA

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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