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1629130372
LIDA BAO
LOS ANGELES, CA
NPI
1629130372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 13681)
Enumeration Date
2006-12-15
Last Update Date
2007-08-20
Business Address
-- LIDA BAO N.P.
11301 WILSHIRE BLVD BUILDING 500
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- LIDA BAO N.P.
1521 S 8TH ST
ALHAMBRA, CA 91803-3241
Phone number: 310-478-3711
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