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1033560438
LISA M ALLEY
COLUMBIA, MD
NPI
1033560438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000687)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
-- LISA M ALLEY ATC, LAT
5500 KNOLL NORTH DR
COLUMBIA, MD 21045-2370
Phone number: 443-542-0062
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Mailing Address
-- LISA M ALLEY ATC, LAT
250 CHARITA WAY
SEVERNA PARK, MD 21146-4004
Phone number:
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