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1164548103
ELAINE LOTH
STOCKTON, CA
NPI
1164548103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: CA RN557498)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
ELAINE LOTH PNP
89 W MARCH LN STE #1
STOCKTON, CA 95207-5721
Phone number: 209-478-2622
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Mailing Address
ELAINE LOTH PNP
89 W MARCH LN STE #1
STOCKTON, CA 95207-5721
Phone number: 209-478-2622
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