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1831656578
LUCYANA MAGRIETTA PANJAITAN
RIVERSIDE, CA
NPI
1831656578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95007651)
Enumeration Date
2019-02-28
Last Update Date
2023-09-26
Business Address
LUCYANA MAGRIETTA PANJAITAN Nurse Practitioner
4500 BROCKTON AVE
RIVERSIDE, CA 92501-4090
Phone number: 951-276-2760
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Mailing Address
LUCYANA MAGRIETTA PANJAITAN Nurse Practitioner
4500 BROCKTON AVE
RIVERSIDE, CA 92501-4090
Phone number: 951-276-2760
Copy
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