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1710243712
MIRANDA LYNN LISH
ERIE, PA
NPI
1710243712
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Former Name
MIRANDA LYNN GRUBER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC012239)
Enumeration Date
2012-04-04
Last Update Date
2016-04-13
Business Address
-- MIRANDA LYNN LISH OT
1645 W 8TH ST
ERIE, PA 16505-5007
Phone number: 814-875-8700
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Mailing Address
-- MIRANDA LYNN LISH OT
SHRINERS HOSPITALS FOR CHILDREN PO BOX 8500, LOCKBOX #7642
PHILADELPHIA, PA 19178-7642
Phone number: 813-281-8478
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