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1104047471
LISA MARIE
EUREKA, CA
NPI
1104047471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- LISA MARIE
720 WOOD ST
EUREKA, CA 95501
Phone number: 707-268-2990
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Mailing Address
-- LISA MARIE
1711 3RD ST
EUREKA, CA 95501
Phone number: 707-268-2800
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