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1780790782
LYNN SOARES GRISMORE
STOCKTON, CA
NPI
1780790782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CA 5362)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- LYNN SOARES GRISMORE NP
7373 WEST LN OB/GYN B
STOCKTON, CA 95210-3377
Phone number: 209-476-3409
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Mailing Address
-- LYNN SOARES GRISMORE NP
7373 WEST LN STE 260
STOCKTON, CA 95210-3377
Phone number: 209-476-3409
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