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1700067527
LORI JAN FUNKE
SANTA ANA, CA
NPI
1700067527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: CA P350959)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- LORI JAN FUNKE PHN
1725 W 17TH ST
SANTA ANA, CA 92706-2316
Phone number: 714-972-3747
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Mailing Address
-- LORI JAN FUNKE PHN
1250 BRASS LANTERN DR
LA HABRA, CA 90631-6332
Phone number: 714-972-3747
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