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1902945686
LISA DURHAM
RIVERSIDE, CA
NPI
1902945686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN207886)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- LISA DURHAM LVN
1700 IOWA AVE SUITE 230
RIVERSIDE, CA 92507-2420
Phone number: 951-369-8604
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Mailing Address
-- LISA DURHAM LVN
200 E ALESSANDRO BLVD APT 67
RIVERSIDE, CA 92508-6180
Phone number: 951-789-0838
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