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1366771776
CAROLINA MESA DEROSE
EXTON, PA
NPI
1366771776
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Former Name
CAROLINA MESA LIZARAZO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: PA PT019923)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
Mrs. CAROLINA MESA DEROSE PT
780 W LINCOLN HWY
EXTON, PA 19341-2547
Phone number: 610-873-4856
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Mailing Address
Mrs. CAROLINA MESA DEROSE PT
325 BUCKEYE LN
WEST CHESTER, PA 19382-6119
Phone number: 757-645-8368
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