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1558020016
LORRIE CHISLOM
PHILADELPHIA, PA
NPI
1558020016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN744947)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
LORRIE CHISLOM RN
1919 COTTMAN AVE
PHILADELPHIA, PA 19111-3816
Phone number: 215-728-4639
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Mailing Address
LORRIE CHISLOM RN
1919 COTTMAN AVE
PHILADELPHIA, PA 19111-3816
Phone number: 215-728-4639
Copy
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