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1023157906
LISA MARIE FOUSEK
MEDINA, OH
NPI
1023157906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 005917)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Ms. LISA MARIE FOUSEK
1000 E WASHINGTON ST
MEDINA, OH 44256-2170
Phone number: 330-725-1000
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Mailing Address
Ms. LISA MARIE FOUSEK
2264 COVINGTON LN
MEDINA, OH 44256-6387
Phone number: 330-239-0612
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