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1326489014
LISA MARIE NEVITT
SAN JOSE, CA
NPI
1326489014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22923)
Enumeration Date
2013-07-10
Last Update Date
2014-11-24
Business Address
LISA MARIE NEVITT PA-C
455 OCONNOR DR SUITE 150
SAN JOSE, CA 95128-1633
Phone number: 408-298-8770
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Mailing Address
LISA MARIE NEVITT PA-C
400 RACE ST
SAN JOSE, CA 95126-3518
Phone number: 408-278-3500
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