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1528505468
CLARICE LICON
LANCASTER, PA
NPI
1528505468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC014912)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
-- CLARICE LICON OTR
3174 THORNAPPLE DR
LANCASTER, PA 17601-6906
Phone number: 717-471-8244
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Mailing Address
-- CLARICE LICON OTR
3174 THORNAPPLE DR
LANCASTER, PA 17601-6906
Phone number: 717-471-8244
Copy
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