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1548395056
LAUREL WOOD IMPASTATO
LOMA LINDA, CA
NPI
1548395056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CA 376586)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- LAUREL WOOD IMPASTATO NP
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4711
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Mailing Address
-- LAUREL WOOD IMPASTATO NP
1495 KINCAID ST
REDLANDS, CA 92373-6931
Phone number: 909-792-5504
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