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1093000341
LISA ANNE GUSTAFSON
STANFORD, CA
NPI
1093000341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 18044)
Enumeration Date
2011-06-15
Last Update Date
2014-02-25
Business Address
-- LISA ANNE GUSTAFSON N.P.
300 PASTEUR DR ROOM HC029
STANFORD, CA 94305-2200
Phone number: 650-724-0385
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Mailing Address
-- LISA ANNE GUSTAFSON N.P.
300 PASTEUR DR ROOM HC029, MC:5277
STANFORD, CA 94305-2200
Phone number: 650-724-0385
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