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1134563778
LENNISA CHERYL SHABAZZ
PHILADELPHIA, PA
NPI
1134563778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC012544)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Ms. LENNISA CHERYL SHABAZZ OTR/L
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
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Mailing Address
Ms. LENNISA CHERYL SHABAZZ OTR/L
7120 ARDLEIGH ST APT E
PHILADELPHIA, PA 19119-1205
Phone number: 315-956-0493
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