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Individual
LYDIA FORBANG
Active
Individual
LYDIA FORBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R N
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95054211
CA
Other
Enumeration date
08/11/2016
Last updated
08/12/2016
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