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1356397913
LISA C OVERTON
PHILADELPHIA, PA
NPI
1356397913
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Entity Type
Organization
Authorized Contact
LISA CAROL OVERTON
Podiatrist
215-548-2010
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: PA SC004492L)
Enumeration Date
2006-05-25
Last Update Date
2011-09-02
Business Address
LISA C OVERTON
1940 E WALNUT LN
PHILADELPHIA, PA 19138-1312
Phone number: 215-548-2113
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Mailing Address
LISA C OVERTON
1940 E WALNUT LN
PHILADELPHIA, PA 19138-1312
Phone number: 215-548-2113
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