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1013676048
LISA MARIE HANSON
FONTANA, CA
NPI
1013676048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019039)
Enumeration Date
2021-12-17
Last Update Date
2022-08-19
Business Address
LISA MARIE HANSON
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336-1263
Phone number: 909-823-8000
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Mailing Address
LISA MARIE HANSON
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336-1263
Phone number: 909-985-0883
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