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1770162794
PUSHPA LATTA
COLUSA, CA
NPI
1770162794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017065)
Enumeration Date
2021-04-06
Last Update Date
2021-05-05
Business Address
Mrs. PUSHPA LATTA FNP
555 FREMONT ST
COLUSA, CA 95932-2534
Phone number: 530-458-8635
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Mailing Address
Mrs. PUSHPA LATTA FNP
555 FREMONT ST
COLUSA, CA 95932-2534
Phone number: 530-458-8635
Copy
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