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1336350081
LOREN N LAVIOLETTE
PHILADELPHIA, PA
NPI
1336350081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS003802L)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- LOREN N LAVIOLETTE EDD
255 SOUTH 17TH STREET SUITE 1605 MEDICAL TOWER BUILDING
PHILADELPHIA, PA 19103
Phone number: 215-545-5493
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Mailing Address
-- LOREN N LAVIOLETTE EDD
255 SOUTH 17TH STREET SUITE 1605 MEDICAL TOWER BUILDING
PHILADELPHIA, PA 19103
Phone number: 215-545-5493
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