NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1619010055
COOPER
JANA
KRISTINE
1256 EL ENCANTO WAY
SACRAMENTO
CA
958313123
1962885616
OLSON
SHAUNDRA
3120 FREEBOARD DR STE 102
WEST SACRAMENTO
CA
956915039
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