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1295931632
LISA ANN VANETTEN
ADVANCE, NC
NPI
1295931632
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Former Name
LISA ANN HRABOVSKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 5554)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Miss LISA ANN VANETTEN OTR
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006-7867
Phone number: 336-940-6433
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Mailing Address
Miss LISA ANN VANETTEN OTR
5120 CARVERSHAM CT
WINSTON SALEM, NC 27106-4783
Phone number: 336-765-1849
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