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1619391182
LISA ROGERS
SAN BERNARDINO, CA
NPI
1619391182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA51334)
Enumeration Date
2014-02-05
Last Update Date
2019-12-23
Business Address
Mrs. LISA ROGERS Physician Assistant
565 N MOUNT VERNON AVE
SAN BERNARDINO, CA 92411-2661
Phone number: 909-884-9091
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Mailing Address
Mrs. LISA ROGERS Physician Assistant
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532-0424
Phone number: 951-244-3500
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