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1285631044
LISA KATHERINE TABOR
LAS VEGAS, NV
NPI
1285631044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NV APRN002065)
Enumeration Date
2005-07-07
Last Update Date
2020-06-30
Business Address
LISA KATHERINE TABOR APRN, ACNP-BC
6545 S FORT APACHE RD STE 135-228
LAS VEGAS, NV 89148-6752
Phone number: 337-804-2049
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Mailing Address
LISA KATHERINE TABOR APRN, ACNP-BC
9900 BREN ROAD EAST MAIL ROUTE MN 008-8213
MINNETONKA, MN 55343
Phone number: 337-804-2049
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