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1093751711
LISA S MANCUSO
PLYMOUTH MEETING, PA
NPI
1093751711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA UP006270C)
Enumeration Date
2006-06-21
Last Update Date
2021-08-18
Business Address
Ms. LISA S MANCUSO CRNP
523 PLYMOUTH RD
PLYMOUTH MEETING, PA 19462-1656
Phone number: 215-956-5110
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Mailing Address
Ms. LISA S MANCUSO CRNP
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 19073-2336
Phone number: 484-337-1260
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