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1619602570
ELIZABETH ANNE DEDERICK
VICTORVILLE, CA
NPI
1619602570
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Former Name
ELIZABETH ANNE SHEPHERD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95020328)
Enumeration Date
2022-07-23
Last Update Date
2024-10-30
Business Address
Mrs. ELIZABETH ANNE DEDERICK NP
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
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Mailing Address
Mrs. ELIZABETH ANNE DEDERICK NP
PO BOX 3952
LANDERS, CA 92285-0952
Phone number: 760-861-0368
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