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1023587755
TERESA D LUSTRE
FRESNO, CA
NPI
1023587755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 748183)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
TERESA D LUSTRE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
TERESA D LUSTRE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
Copy
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