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1053437004
LISA HANSEN
STOCKTON, CA
NPI
1053437004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA RN488598)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- LISA HANSEN FNP
89 W MARCH LN SUITE #1
STOCKTON, CA 95207-5721
Phone number: 209-478-2622
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Mailing Address
-- LISA HANSEN FNP
89 W MARCH LN SUITE #1
STOCKTON, CA 95207-5721
Phone number: 209-478-2622
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