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1134526544
REBECCA LISAK
PHILADELPHIA, PA
NPI
1134526544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: PA MSG004828)
Enumeration Date
2014-12-01
Last Update Date
2014-12-01
Business Address
-- REBECCA LISAK
2007 CHESTNUT ST SUITE 1
PHILADELPHIA, PA 19103-3318
Phone number: 267-235-4759
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Mailing Address
-- REBECCA LISAK
2046 PINE ST
PHILADELPHIA, PA 19103-6536
Phone number:
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