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1861851339
PATRECHI THAYER
LOMA LINDA, CA
NPI
1861851339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003354)
Enumeration Date
2016-02-12
Last Update Date
2016-02-12
Business Address
-- PATRECHI THAYER 95003354
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
-- PATRECHI THAYER 95003354
6787 KNOLL CT
HESPERIA, CA 92345-4869
Phone number: 760-985-8344
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