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1891103842
MYRNA ASIDDAO LIM
JBSA LACKLAND, ZZ
NPI
1891103842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000615)
Enumeration Date
2014-07-22
Last Update Date
2022-09-20
Business Address
MYRNA ASIDDAO LIM NP-C
1940 CARSWELL AVE
JBSA LACKLAND, ZZ
Phone number: 210-292-0515
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Mailing Address
MYRNA ASIDDAO LIM NP-C
1940 CARSWELL AVE
JBSA LACKLAND, ZZ
Phone number: 210-292-0515
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