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1528188653
LISA ANNE PORCELLO
SYRACUSE, NY
NPI
1528188653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 02201545)
Enumeration Date
2007-03-30
Last Update Date
2008-10-09
Business Address
Ms. LISA ANNE PORCELLO LPN
2208 BELLEVUE AVE
SYRACUSE, NY 13219-3210
Phone number: 315-472-1602
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Mailing Address
Ms. LISA ANNE PORCELLO LPN
105 HERKIMER ST APT 14
SYRACUSE, NY 13204-1744
Phone number: 315-468-0043
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