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1083204184
LISA RENEE BUSSERT
AMANDA, OH
NPI
1083204184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH LPN.148873.MEDS-IV)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
LISA RENEE BUSSERT
8700 OAKLAND STOUTSVILLE RD SW
AMANDA, OH 43102-9553
Phone number: 740-503-4092
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Mailing Address
LISA RENEE BUSSERT
8700 OAKLAND STOUTSVILLE RD SW
AMANDA, OH 43102-9553
Phone number: 740-503-4092
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