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1720224751
LISA ANN MAHNKE
PHILADELPHIA, PA
NPI
1720224751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD430077)
Enumeration Date
2008-12-22
Last Update Date
2008-12-22
Business Address
-- LISA ANN MAHNKE
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124-3602
Phone number: 215-744-1302
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Mailing Address
-- LISA ANN MAHNKE
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400
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