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1699104216
LISA HARADA
HOUSTON, TX
NPI
1699104216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 9460190-4405)
Enumeration Date
2013-11-04
Last Update Date
2015-12-29
Business Address
-- LISA HARADA
6701 FANNIN ST
HOUSTON, TX 77030-2608
Phone number: 832-828-3660
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Mailing Address
-- LISA HARADA
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 808-561-9254
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