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1558338442
LISA M NULL
LATROBE, PA
NPI
1558338442
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Former Name
LISA M MADATIC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA051318)
Enumeration Date
2006-03-01
Last Update Date
2007-07-08
Business Address
-- LISA M NULL PA-C
1010 LIGONIER ST
LATROBE, PA 15650-1882
Phone number: 724-539-8581
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Mailing Address
-- LISA M NULL PA-C
1010 LIGONIER ST
LATROBE, PA 15650-1882
Phone number: 724-539-8581
Copy
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