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1164610143
FLAVIE LESAGE-JUSTAFORT
WEST READING, PA
NPI
1164610143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA053246)
Enumeration Date
2007-10-04
Last Update Date
2018-04-05
Business Address
FLAVIE LESAGE-JUSTAFORT P.A.
420 S 5TH AVE
WEST READING, PA 19611-2143
Phone number: 484-628-3637
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Mailing Address
FLAVIE LESAGE-JUSTAFORT P.A.
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-0799
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