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1811273980
LISA MARIE MANGINO-BLANCHARD
PHILADELPHIA, PA
NPI
1811273980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP007067)
Enumeration Date
2011-11-02
Last Update Date
2011-11-02
Business Address
-- LISA MARIE MANGINO-BLANCHARD CRNP
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9595
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Mailing Address
-- LISA MARIE MANGINO-BLANCHARD CRNP
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9595
Copy
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