LISA D KING

WAYNESBURG, PA
NPI1770545733
Former NameLISA D BOWER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: PA  pt002279e)
Enumeration Date2006-04-05
Last Update Date2012-09-07
Business Address
-- LISA D KING PT
265 ELM DR
WAYNESBURG, PA 15370-8275
Phone number: 724-627-0685
Mailing Address
-- LISA D KING PT
265 ELM DR
WAYNESBURG, PA 15370-8275
Phone number: 724-627-0685
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