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1215756168
LISA MICHELLE AVERY
LAKE ELSINORE, CA
NPI
1215756168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
LISA MICHELLE AVERY
31772 CASINO DR STE B
LAKE ELSINORE, CA 92530-4502
Phone number: 951-457-2992
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Mailing Address
LISA MICHELLE AVERY
31772 CASINO DR
LAKE ELSINORE, CA 92530-4502
Phone number: 951-457-2992
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