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1104135987
LISA DEROCHER
SIOUX CITY, IA
NPI
1104135987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IA 107709)
Enumeration Date
2010-09-28
Last Update Date
2010-09-28
Business Address
-- LISA DEROCHER RN
1125 PIERCE ST
SIOUX CITY, IA 51105-1485
Phone number: 712-255-8901
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Mailing Address
-- LISA DEROCHER RN
1125 PIERCE ST
SIOUX CITY, IA 51105-1485
Phone number: 712-255-8901
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