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1568844645
LISA SHELLY-ANN THOMPSON-MAYNEZ
LOMA LINDA, CA
NPI
1568844645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A152823)
Enumeration Date
2015-06-24
Last Update Date
2022-01-06
Business Address
LISA SHELLY-ANN THOMPSON-MAYNEZ M.D.
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354-3130
Phone number: 909-558-6600
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Mailing Address
LISA SHELLY-ANN THOMPSON-MAYNEZ M.D.
FILE #54701
LOS ANGELES, CA 90074-4701
Phone number: 096-514-3009
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