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Individual

AGNESE IZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1970 FAIRWAY OAKS DR, RIPON, CA 95366-9360
(209) 345-1200
Mailing address
1410 COLUMBIA RD, SOUTH BOSTON, BOSTON, MA 02127-4019
(860) 966-5640

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary

Other

Enumeration date
06/20/2015
Last updated
06/20/2015
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