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1831663426
LISA LEVIDA POWELL
ROSEVILLE, CA
NPI
1831663426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 235848)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
Ms. LISA LEVIDA POWELL LVN
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
Ms. LISA LEVIDA POWELL LVN
2860 NIOBRARA AVE
STOCKTON, CA 95206-6418
Phone number: 510-253-3832
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