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1902412505
LISA MAI
ROSEBURG, OR
NPI
1902412505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
LISA MAI PA-C
2700 NW STEWART PKWY
ROSEBURG, OR 97471-1214
Phone number: 541-673-0611
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Mailing Address
LISA MAI PA-C
7 VARENNES ST APT 4
SAN FRANCISCO, CA 94133-3420
Phone number: 415-963-2486
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