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1003811175
LISA DEVINENI
JOHNSTOWN, PA
NPI
1003811175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA VP004823B)
Enumeration Date
2005-06-16
Last Update Date
2014-10-17
Business Address
LISA DEVINENI CRNP
315 LOCUST ST 2ND FLOOR
JOHNSTOWN, PA 15901-1651
Phone number: 814-534-6750
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Mailing Address
LISA DEVINENI CRNP
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-410-8300
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