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1528383411
LAURIE IRENE DAVIS MATA
MERCED, CA
NPI
1528383411
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Former Name
LAURIE IRENE MCCLURE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CA 16800)
Enumeration Date
2010-04-02
Last Update Date
2019-11-15
Business Address
Mrs. LAURIE IRENE DAVIS MATA WHNP
797 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 866-682-4842
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Mailing Address
Mrs. LAURIE IRENE DAVIS MATA WHNP
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 866-682-4842
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