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1770926594
LISA MARIE WHEADON
PLACENTIA, CA
NPI
1770926594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 20921)
Enumeration Date
2013-04-10
Last Update Date
2017-02-28
Business Address
Ms. LISA MARIE WHEADON NP
1325 N ROSE DR SUITE 210
PLACENTIA, CA 92870-3840
Phone number: 714-961-5804
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Mailing Address
Ms. LISA MARIE WHEADON NP
1325 N ROSE DR SUITE 210
PLACENTIA, CA 92870-3840
Phone number: 714-961-5804
Copy
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