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1801331566
LORI LOUISE NISSEN
CONCORD, CA
NPI
1801331566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT6071)
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
-- LORI LOUISE NISSEN PTA
2300 CLAYTON RD STE 1170
CONCORD, CA 94520-2100
Phone number: 925-726-0166
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Mailing Address
-- LORI LOUISE NISSEN PTA
2300 CLAYTON RD STE 1170
CONCORD, CA 94520-2100
Phone number: 925-726-0166
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