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1730299645
LARISA M REVZINA
MOUNTAIN VIEW, CA
NPI
1730299645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA RN555478)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- LARISA M REVZINA FNP
225 SAN ANTONIO RD
MOUNTAIN VIEW, CA 94040-1209
Phone number: 650-948-0804
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Mailing Address
-- LARISA M REVZINA FNP
1631 HOLT AVE
LOS ALTOS, CA 94024-6929
Phone number: 650-940-9686
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