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1750692380
LISA CAROL DAVIS
COLTON, CA
NPI
1750692380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 650954)
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
-- LISA CAROL DAVIS
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- LISA CAROL DAVIS
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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