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1811038094
LISA MARIE FATU
SANTA ROSA, CA
NPI
1811038094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- LISA MARIE FATU
3440 AIRWAY DR STE E
SANTA ROSA, CA 95403-2065
Phone number: 707-544-3299
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Mailing Address
-- LISA MARIE FATU
3440 AIRWAY DR STE E
SANTA ROSA, CA 95403-2065
Phone number: 707-544-3299
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