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1831166800
LISA M. MORENO
FRESNO, CA
NPI
1831166800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA18308)
Enumeration Date
2006-03-08
Last Update Date
2016-04-18
Business Address
-- LISA M. MORENO PA-C
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-459-6000
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Mailing Address
-- LISA M. MORENO PA-C
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number:
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