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1922245596
LAN AI LAVELLE
RIVERSIDE, CA
NPI
1922245596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 22965)
Enumeration Date
2009-01-19
Last Update Date
2013-04-18
Business Address
-- LAN AI LAVELLE NP
822 KILMARNOCK WAY
RIVERSIDE, CA 92508-6077
Phone number: 951-776-1960
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Mailing Address
-- LAN AI LAVELLE NP
822 KILMARNOCK WAY
RIVERSIDE, CA 92508-6077
Phone number: 951-776-1960
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