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1710377148
LARISA LOPATKO
TEMPE, AZ
NPI
1710377148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP5701)
Enumeration Date
2015-01-22
Last Update Date
2016-10-11
Business Address
-- LARISA LOPATKO
451 E UNIVERSITY DR
TEMPE, AZ 85281-5391
Phone number: 480-965-3346
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Mailing Address
-- LARISA LOPATKO
PO BOX 872104
TEMPE, AZ 85287-2104
Phone number: 480-884-1935
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