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1871628453
LISA BOLLA
LOMA LINDA, CA
NPI
1871628453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 484372)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- LISA BOLLA NP
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-7163
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Mailing Address
-- LISA BOLLA NP
7873 CALLE CARRISA ST
HIGHLAND, CA 92346-6326
Phone number: 909-558-7163
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