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1326253972
LISA KRISTINE NELSEN, MEDICAL CORPORATION
ROSEVILLE, CA
NPI
1326253972
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Entity Type
Organization
Authorized Contact
LISA KRISTINE NELSEN
President
916-652-6148
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A62910)
Enumeration Date
2007-05-14
Last Update Date
2013-01-10
Business Address
LISA KRISTINE NELSEN, MEDICAL CORPORATION
151 N SUNRISE AVE SUITE 1107
ROSEVILLE, CA 95661-2924
Phone number: 916-780-1107
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Mailing Address
LISA KRISTINE NELSEN, MEDICAL CORPORATION
3595 N LAKESHORE BLVD
LOOMIS, CA 95650-8500
Phone number: 916-652-6148
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