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1467153247
LISA J KUECKER
NEWPORT BEACH, CA
NPI
1467153247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003724)
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
LISA J KUECKER
1 HOAG DR
NEWPORT BEACH, CA 92663-4162
Phone number: 949-764-5384
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Mailing Address
LISA J KUECKER
20 NORTHAMPTON PL
COTO DE CAZA, CA 92679-4721
Phone number: 949-702-0991
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