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1740054238
LISSA YIBELL PORTILLO
LANCASTER, CA
NPI
1740054238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 724492)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
Miss LISSA YIBELL PORTILLO LVN
4702 JEWEL DR
LANCASTER, CA 93536-4111
Phone number: 818-967-9187
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Mailing Address
Miss LISSA YIBELL PORTILLO LVN
4702 JEWEL DR
LANCASTER, CA 93536-4111
Phone number: 818-967-9187
Copy
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