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1588862858
LISA MARIE NAGEL
SAN DIEGO, CA
NPI
1588862858
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Professional Name
LISA MARIE THAYER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A10841)
Enumeration Date
2007-07-06
Last Update Date
2021-12-01
Business Address
LISA MARIE NAGEL D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-2583
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Mailing Address
LISA MARIE NAGEL D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-2583
Copy
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