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1396144234
LISA MARIE BOARDMAN
SANTA ROSA, CA
NPI
1396144234
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Former Name
LISA MARIE HERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32502)
Enumeration Date
2014-08-16
Last Update Date
2021-11-30
Business Address
Mrs. LISA MARIE BOARDMAN MPT
3550 ROUND BARN BLVD
SANTA ROSA, CA 95403-1796
Phone number: 707-486-9362
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Mailing Address
Mrs. LISA MARIE BOARDMAN MPT
3550 ROUND BARN BLVD
SANTA ROSA, CA 95403-1796
Phone number:
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