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1023574423
CHRISTINA LACKLAND
BRENTWOOD, CA
NPI
1023574423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011127)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
CHRISTINA LACKLAND
2221 BALFOUR RD
BRENTWOOD, CA 94513-4932
Phone number: 909-908-3690
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Mailing Address
CHRISTINA LACKLAND
5337 SUNRISE MEADOWS LN
OAKLEY, CA 94561-3109
Phone number:
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