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1831188051
LAURIE BERTHOLD
SELMA, CA
NPI
1831188051
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Other Name
LAURIE BERTHOLD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 321100)
Enumeration Date
2005-10-20
Last Update Date
2022-01-12
Business Address
Ms. LAURIE BERTHOLD CPNP
2651 HIGHLAND AVE KAISER PERMANENTE DEPT OF PEDIATRICS
SELMA, CA 93662-3392
Phone number: 559-898-6140
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Mailing Address
Ms. LAURIE BERTHOLD CPNP
2651 HIGHLAND AVE
FRESNO, CA 93622
Phone number: 559-898-6140
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