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1457496390
LARISSA VISHTELL
TEMECULA, CA
NPI
1457496390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 5529)
Enumeration Date
2007-02-20
Last Update Date
2017-02-24
Business Address
-- LARISSA VISHTELL FNP
41840 ENTERPRISE CIR N
TEMECULA, CA 92590-5654
Phone number: 760-737-6960
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Mailing Address
-- LARISSA VISHTELL FNP
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-737-6960
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