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1013636729
LISA MARIE HARRELSON
PHILADELPHIA, PA
NPI
1013636729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP026175)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
LISA MARIE HARRELSON DNP
4453 CASTOR AVE STE B
PHILADELPHIA, PA 19124-3846
Phone number: 215-744-2266
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Mailing Address
LISA MARIE HARRELSON DNP
4453 CASTOR AVE STE B
PHILADELPHIA, PA 19124-3846
Phone number: 215-744-2266
Copy
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