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Individual
LISA CHRISTINE GAVIN KUCERA
Active
Individual
LISA CHRISTINE GAVIN KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22920
CA
Other
Enumeration date
03/05/2013
Last updated
08/12/2015
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