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1093120776
MARIANNE LARA
LONG BEACH, CA
NPI
1093120776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000045)
Enumeration Date
2014-06-21
Last Update Date
2014-06-21
Business Address
-- MARIANNE LARA NP-C
6353 CERRITOS AVE
LONG BEACH, CA 90805-2413
Phone number: 562-208-8722
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Mailing Address
-- MARIANNE LARA NP-C
6353 CERRITOS AVE
LONG BEACH, CA 90805-2413
Phone number:
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