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1962961615
LISA ROBIN GLASS
VAIL, AZ
NPI
1962961615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344218)
Enumeration Date
2019-03-12
Last Update Date
2022-08-04
Business Address
LISA ROBIN GLASS Nurse practitioner
13370 E MARY ANN CLEVELAND WAY STE 102
VAIL, AZ 85641-8610
Phone number: 520-585-5002
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Mailing Address
LISA ROBIN GLASS Nurse practitioner
85 FAIRFIELD WAY APT 9
COMMACK, NY 11725-3426
Phone number: 631-651-8922
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