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1558148353
BERTA JAIME LARA
MADERA, CA
NPI
1558148353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F07230350)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
BERTA JAIME LARA NP
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-3000
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Mailing Address
BERTA JAIME LARA NP
851 9TH ST
ORANGE COVE, CA 93646-2307
Phone number: 559-672-0452
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