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1003455742
LISA KRISTINE MIZEUR
BEND, OR
NPI
1003455742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 95013410)
Enumeration Date
2019-12-28
Last Update Date
2022-10-03
Business Address
LISA KRISTINE MIZEUR FNP
2600 NE NEFF RD
BEND, OR 97701-6337
Phone number: 541-706-4800
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Mailing Address
LISA KRISTINE MIZEUR FNP
5100 GOLDEN HILL DR
WEED, CA 96094-9644
Phone number: 530-356-5342
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