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1598542003
ALICIA TABOADA
GLENDALE, CA
NPI
1598542003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95026644)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
ALICIA TABOADA
1030 S GLENDALE AVE STE 200
GLENDALE, CA 91205-2866
Phone number: 818-850-5667
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Mailing Address
ALICIA TABOADA
PO BOX 5394
PINE MOUNTAIN CLUB, CA 93222-5394
Phone number: 661-699-7933
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