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1023835477
LIZA ROSE BEVIGLIA
MOOSIC, PA
NPI
1023835477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA066055)
Enumeration Date
2024-09-25
Last Update Date
2024-10-01
Business Address
LIZA ROSE BEVIGLIA
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1707
Phone number: 570-346-3686
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Mailing Address
LIZA ROSE BEVIGLIA
611 KOHLER AVE
OLD FORGE, PA 18518-1042
Phone number: 570-299-0566
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