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1073857801
LISA ANN CLARK
BINGHAMTON, NY
NPI
1073857801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 016722-1)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
Ms. LISA ANN CLARK lmt
1110 CHENANGO ST
BINGHAMTON, NY 13901-1668
Phone number: 607-221-5041
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Mailing Address
Ms. LISA ANN CLARK lmt
1110 CHENANGO ST
BINGHAMTON, NY 13901-1668
Phone number: 607-221-5041
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