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1750518460
LISA ELLEN GRAHAM
SOUTH MIAMI, FL
NPI
1750518460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL AP2651)
Enumeration Date
2009-06-20
Last Update Date
2009-06-20
Business Address
Dr. LISA ELLEN GRAHAM MSTOM
6301 SUNSET DR SUITE 201
SOUTH MIAMI, FL 33143-4818
Phone number: 305-669-2715
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Mailing Address
Dr. LISA ELLEN GRAHAM MSTOM
5120 CARILLO ST
CORAL GABLES, FL 33146-2060
Phone number: 305-740-5547
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