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1497881148
LISA M MASUMOTO
FALLS CHURCH, VA
NPI
1497881148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0001188926)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- LISA M MASUMOTO CRNA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-689-3138
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Mailing Address
-- LISA M MASUMOTO CRNA
255 W MICHIGAN AVE P. O. BOX 1123
JACKSON, MI 49201-2218
Phone number: 866-570-0077
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