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1679074173
LISA ANNE LICKERS
MIDLOTHIAN, VA
NPI
1679074173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305005018)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
LISA ANNE LICKERS
13900 HULL STREET RD
MIDLOTHIAN, VA 23112-2004
Phone number: 804-639-8788
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Mailing Address
LISA ANNE LICKERS
13900 HULL STREET RD
MIDLOTHIAN, VA 23112-2004
Phone number:
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