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1043030471
LISA BLASZCZYK
PHILADELPHIA, PA
NPI
1043030471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA RN703832)
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
LISA BLASZCZYK CRNP
9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114-1035
Phone number: 215-969-4917
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Mailing Address
LISA BLASZCZYK CRNP
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-1324
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