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1205102191
LANORE ALICE WISZ
KENNETT SQUARE, PA
NPI
1205102191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 5502003440)
Enumeration Date
2012-03-26
Last Update Date
2012-03-26
Business Address
-- LANORE ALICE WISZ PTA
600 S BROAD ST
KENNETT SQUARE, PA 19348-3346
Phone number: 855-497-6449
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Mailing Address
-- LANORE ALICE WISZ PTA
600 S BROAD ST
KENNETT SQUARE, PA 19348-3346
Phone number: 855-497-6449
Copy
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