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1619536844
LISA M GORMAN
LAS VEGAS, NV
NPI
1619536844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 818245)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
LISA M GORMAN FNP
6240 N DURANGO DR STE 120
LAS VEGAS, NV 89149-3916
Phone number: 954-923-7440
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Mailing Address
LISA M GORMAN FNP
200 S PARK RD STE 200
HOLLYWOOD, FL 33021-8541
Phone number: 954-607-9826
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