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1639568363
LISA C IMOTO
STANFORD, CA
NPI
1639568363
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Other Name
LISA ZAGORSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95000890)
Enumeration Date
2015-01-19
Last Update Date
2022-07-21
Business Address
LISA C IMOTO FNP
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
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Mailing Address
LISA C IMOTO FNP
77 N ALMADEN AVE APT 1512
SAN JOSE, CA 95110
Phone number: 630-460-1835
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