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1174550743
LISA MONICA CABALLA
PONTIAC, MI
NPI
1174550743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704211996)
Enumeration Date
2006-06-27
Last Update Date
2010-06-23
Business Address
-- LISA MONICA CABALLA
44405 WOODWARD AVE
PONTIAC, MI 48341-5023
Phone number: 248-858-6593
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Mailing Address
-- LISA MONICA CABALLA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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