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1104367135
THERESA DAVIS-BATES
UPLAND, CA
NPI
1104367135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95006327)
Enumeration Date
2017-03-09
Last Update Date
2019-08-26
Business Address
THERESA DAVIS-BATES FNP
141 W FOOTHILL BLVD
UPLAND, CA 91786-8705
Phone number: 562-367-6151
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Mailing Address
THERESA DAVIS-BATES FNP
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-977-4674
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