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1417656992
GISSELLE LARA
BELLFLOWER, CA
NPI
1417656992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95022684)
Enumeration Date
2023-02-23
Last Update Date
2024-08-06
Business Address
GISSELLE LARA FNP
10251 ARTESIA BLVD
BELLFLOWER, CA 90706-6719
Phone number: 562-867-8681
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Mailing Address
GISSELLE LARA FNP
234 E BADILLO ST
COVINA, CA 91723-2115
Phone number: 626-915-9992
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