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1033400841
MYRYAN A. LIZAMA
PHILADELPHIA, PA
NPI
1033400841
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Professional Name
MYRYAN A. LIZAMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
Mrs. MYRYAN A. LIZAMA
136 DIAMOND ST
PHILADELPHIA, PA 19122-1721
Phone number: 267-271-6199
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Mailing Address
Mrs. MYRYAN A. LIZAMA
136 DIAMOND ST
PHILADELPHIA, PA 19122-1721
Phone number: 267-271-6199
Copy
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