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1851927867
LIDIA PARK
LODI, CA
NPI
1851927867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 182789)
Enumeration Date
2020-03-21
Last Update Date
2023-07-10
Business Address
LIDIA PARK
975 S FAIRMONT AVE
LODI, CA 95240-5118
Phone number: 209-334-3411
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Mailing Address
LIDIA PARK
3819 ROSEPARKE WAY
SACRAMENTO, CA 95834-2083
Phone number:
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