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Individual

REBECCA A COELHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1829 SILVANA LN, SANTA CRUZ, CA 95062-3060
(831) 464-2961
(831) 464-8678
Mailing address
1829 SILVANA LN, SANTA CRUZ, CA 95062-3060
(831) 464-2961
(831) 464-8678

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/21/2010
Last updated
12/29/2011
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