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1104170323
LAURA KAY VILLASENOR
IRVINE, CA
NPI
1104170323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 22221)
Enumeration Date
2012-11-09
Last Update Date
2012-11-09
Business Address
-- LAURA KAY VILLASENOR FNP-BC
4980 BARRANCA PKWY SUITE 200
IRVINE, CA 92604-8645
Phone number: 949-786-5050
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Mailing Address
-- LAURA KAY VILLASENOR FNP-BC
115 SPANISH LACE
IRVINE, CA 92620-3424
Phone number: 651-335-6497
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