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1992541502
LISA MARIE MENDIVIL
TUCSON, AZ
NPI
1992541502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ 300002)
Enumeration Date
2024-07-02
Last Update Date
2024-07-15
Business Address
LISA MARIE MENDIVIL CNP
5390 E ERICKSON DR
TUCSON, AZ 85712-2822
Phone number: 520-314-1545
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Mailing Address
LISA MARIE MENDIVIL CNP
5390 E ERICKSON DR
TUCSON, AZ 85712-2822
Phone number: 520-314-1545
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