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1710289533
LISA M WOOTEN
WILLIAMSPORT, PA
NPI
1710289533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA 08632)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Ms. LISA M WOOTEN MT-BC
520 W 4TH ST
WILLIAMSPORT, PA 17701-6038
Phone number: 570-601-1630
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Mailing Address
Ms. LISA M WOOTEN MT-BC
520 W 4TH ST
WILLIAMSPORT, PA 17701-6038
Phone number: 570-601-1630
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