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1285620757
LARISA GRANOVSKY
PHILADELPHIA, PA
NPI
1285620757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: PA DC-006295-L)
Enumeration Date
2005-09-21
Last Update Date
2007-07-08
Business Address
-- LARISA GRANOVSKY dc
842 RED LION RD #5
PHILADELPHIA, PA 19115-1475
Phone number: 215-464-0404
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Mailing Address
-- LARISA GRANOVSKY dc
842 RED LION RD #5
PHILADELPHIA, PA 19115-1475
Phone number: 215-464-0404
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