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1053007245
ISMAEL MEDINA LARA
EXTON, PA
NPI
1053007245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
ISMAEL MEDINA LARA
728 SPRINGDALE DR
EXTON, PA 19341-2828
Phone number: 610-344-9600
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Mailing Address
ISMAEL MEDINA LARA
728 SPRINGDALE DR
EXTON, PA 19341-2828
Phone number: 610-344-9600
Copy
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