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1255978060
TERESA LYNN LISUM
NEWTON FALLS, OH
NPI
1255978060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-11-30
Last Update Date
2019-11-30
Business Address
TERESA LYNN LISUM
5261 BROADWAY AVE
NEWTON FALLS, OH 44444-1893
Phone number: 330-307-7296
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Mailing Address
TERESA LYNN LISUM
5261 BROADWAY AVE
NEWTON FALLS, OH 44444-1893
Phone number: 330-307-7296
Copy
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