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1598096463
CHALISE L LARK
PHILADELPHIA, PA
NPI
1598096463
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Former Name
CHALISE L MASON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN539928)
Enumeration Date
2010-01-16
Last Update Date
2019-07-31
Business Address
CHALISE L LARK CRNA
5501 OLD YORK RD TOWER 3
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6850
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Mailing Address
CHALISE L LARK CRNA
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-7000
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