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1396282190
LAISNER DUCLOS
PALMDALE, CA
NPI
1396282190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95005924)
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- LAISNER DUCLOS NP
38600 MEDICAL CENTER DR
PALMDALE, CA 93551-4483
Phone number: 661-382-5000
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Mailing Address
-- LAISNER DUCLOS NP
13750 LEMOLI AVE APT 68
HAWTHORNE, CA 90250-7767
Phone number: 954-274-4611
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