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1316434442
LISA EDENS-TAN
FORT BRAGG, CA
NPI
1316434442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175F00000X Naturopath
(Licence: CA ND988)
Enumeration Date
2018-04-14
Last Update Date
2020-02-04
Business Address
LISA EDENS-TAN ND
647 N MAIN ST
FORT BRAGG, CA 95437-3219
Phone number: 925-209-5966
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Mailing Address
LISA EDENS-TAN ND
623 S SANDERSON WAY
FORT BRAGG, CA 95437-4537
Phone number: 925-209-5966
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