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1417324690
LISETTE FUENTES
HAYWARD, CA
NPI
1417324690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: CA 95002194)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
LISETTE FUENTES
22331 MISSION BLVD
HAYWARD, CA 94541-3911
Phone number: 510-471-5907
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Mailing Address
LISETTE FUENTES
22331 MISSION BLVD
HAYWARD, CA 94541-3911
Phone number: 510-471-5907
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