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1144779497
LISA LARAINE STAFFORD
SANTA ROSA, CA
NPI
1144779497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 2016013940)
Enumeration Date
2016-09-28
Last Update Date
2022-12-08
Business Address
LISA LARAINE STAFFORD NP
34 MARK WEST SPRINGS RD FL 3
SANTA ROSA, CA 95403
Phone number: 707-573-5240
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Mailing Address
LISA LARAINE STAFFORD NP
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 707-573-5240
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