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1417263849
LAKEISHA NICOLE SWAN
UPPER MARLBORO, MD
NPI
1417263849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21220)
Enumeration Date
2010-08-23
Last Update Date
2023-04-28
Business Address
Mrs. LAKEISHA NICOLE SWAN PT, DPT
5106 BACK STRETCH BLVD
UPPER MARLBORO, MD 20772-2970
Phone number: 301-254-3611
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Mailing Address
Mrs. LAKEISHA NICOLE SWAN PT, DPT
65 E WADSWORTH PARK DR STE 230
DRAPER, UT 84020-8096
Phone number: 385-308-8034
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