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1487379004
LUCIA DE LA VEGA
ORANGE, CA
NPI
1487379004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 95021709)
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
LUCIA DE LA VEGA
293 N STATE COLLEGE BLVD APT 1076
ORANGE, CA 92868-5708
Phone number: 714-768-1502
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Mailing Address
LUCIA DE LA VEGA
293 N STATE COLLEGE BLVD APT 1076
ORANGE, CA 92868-5708
Phone number: 714-768-1502
Copy
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