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1851539084
LANCE REED WISSMAN
GLENDALE, AZ
NPI
1851539084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: AZ 0568)
Enumeration Date
2009-01-26
Last Update Date
2009-01-26
Business Address
Dr. LANCE REED WISSMAN D.P.M.
19389 N 59TH AVE
GLENDALE, AZ 85308-6500
Phone number: 623-537-6000
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Mailing Address
Dr. LANCE REED WISSMAN D.P.M.
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number: 623-572-3454
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