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1598132128
LISA GWILLIAM
SAN DIEGO, CA
NPI
1598132128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95002845)
Enumeration Date
2015-08-31
Last Update Date
2016-09-19
Business Address
-- LISA GWILLIAM FNP
7910 FROST ST STE 200
SAN DIEGO, CA 92123-2771
Phone number: 858-966-4032
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Mailing Address
-- LISA GWILLIAM FNP
3020 CHILDRENS WAY MC 5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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