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1871998955
LISA TAFT
TORRANCE, CA
NPI
1871998955
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Former Name
LISA MARIE BOOTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 104908)
Enumeration Date
2014-10-31
Last Update Date
2021-12-21
Business Address
LISA TAFT CRNA
1000 W CARSON ST DEPT OF ANESTHESIOLOGY
TORRANCE, CA 90502-2004
Phone number: 310-222-3472
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Mailing Address
LISA TAFT CRNA
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-971-6545
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