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1922523034
LISA IPPOLITO
MODESTO, CA
NPI
1922523034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95006906)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
LISA IPPOLITO FNP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
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Mailing Address
LISA IPPOLITO FNP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
Copy
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