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1013360106
LARISSA TODD
ALISO VIEJO, CA
NPI
1013360106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP 95004416)
Enumeration Date
2016-07-13
Last Update Date
2021-07-09
Business Address
LARISSA TODD
26891 ALISO CREEK RD
ALISO VIEJO, CA 92656-3392
Phone number: 949-360-4081
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Mailing Address
LARISSA TODD
FILE 50670
LOS ANGELES, CA 90074-0670
Phone number: 888-227-3312
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