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1275511008
LISA C MAZUR
NEWARK, DE
NPI
1275511008
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Other Name
LISA C MAZUR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE C50000131)
Enumeration Date
2006-01-03
Last Update Date
2007-07-08
Business Address
-- LISA C MAZUR PAC
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718-0001
Phone number: 302-733-1000
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Mailing Address
-- LISA C MAZUR PAC
PO BOX 3048
WILMINGTON, DE 19804-0048
Phone number: 302-224-5678
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