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1558807107
CHARLOTTE NORDSTROM
TUSTIN, CA
NPI
1558807107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 9500534)
Enumeration Date
2017-01-06
Last Update Date
2023-05-19
Business Address
CHARLOTTE NORDSTROM
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
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Mailing Address
CHARLOTTE NORDSTROM
661 W 1ST ST
TUSTIN, CA 92780-2939
Phone number: 800-597-7977
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