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1487209326
GLECY KRISTINE TAN LUA
RIVERSIDE, CA
NPI
1487209326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010230)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
GLECY KRISTINE TAN LUA FNP
7992 WOOD RD
RIVERSIDE, CA 92508-6605
Phone number: 951-284-5064
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Mailing Address
GLECY KRISTINE TAN LUA FNP
7992 WOOD RD
RIVERSIDE, CA 92508-6605
Phone number: 951-284-5064
Copy
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