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1245919422
LANAE ALLIE
PHILADELPHIA, PA
NPI
1245919422
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Former Name
LANAE BRUNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN297054)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
LANAE ALLIE LPN
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131-4714
Phone number: 215-879-6116
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Mailing Address
LANAE ALLIE LPN
637 N FRAZIER ST
PHILADELPHIA, PA 19131-4810
Phone number: 267-325-2083
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