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1114498789
LISA MICHELLE GITTHENS MOSES
MANTECA, CA
NPI
1114498789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA 29502)
Enumeration Date
2018-12-07
Last Update Date
2022-01-03
Business Address
LISA MICHELLE GITTHENS MOSES RRT
1721 W YOSEMITE AVE
MANTECA, CA 95337-5130
Phone number: 209-824-5086
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Mailing Address
LISA MICHELLE GITTHENS MOSES RRT
836 SUNRISE AVE
RIPON, CA 95366-2049
Phone number: 209-531-5602
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