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1831194323
LORI A DEBOLD
FOUNTAIN VALLEY, CA
NPI
1831194323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G66467)
Enumeration Date
2005-06-20
Last Update Date
2015-05-13
Business Address
Dr. LORI A DEBOLD M.D.
18111 BROOKHURST ST SUITE 1100
FOUNTAIN VALLEY, CA 92708-6728
Phone number: 714-861-4770
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Mailing Address
Dr. LORI A DEBOLD M.D.
17360 BROOKHURST ST ATTN: MCMF - CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number:
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