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Individual

CAROLYN NEVAOUN BUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
608 10TH ST, SACRAMENTO, CA 95814-0712
(916) 441-3819
Mailing address
608 10TH ST, SACRAMENTO, CA 95814-0712
(916) 441-3819

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN66370
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VN66370
LICENSEDVOCATIONAL NURSE
CA
Enumeration date
06/26/2007
Last updated
07/08/2007
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