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1184649386
LISA G WELLINGTON
BRONX, NY
NPI
1184649386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011141)
Enumeration Date
2006-07-12
Last Update Date
2013-07-25
Business Address
-- LISA G WELLINGTON PA
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2904
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Mailing Address
-- LISA G WELLINGTON PA
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2904
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