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1104305309
LORRIE HETAGER
ALTOONA, PA
NPI
1104305309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
LORRIE HETAGER
154 LAKEMONT PARK BLVD
ALTOONA, PA 16602-5900
Phone number: 814-946-5411
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Mailing Address
LORRIE HETAGER
201 CHESTNUT AVE
ALTOONA, PA 16601-4927
Phone number:
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