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1851673123
JACK LAWRENCE
ALLENTOWN, PA
NPI
1851673123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 057478)
Enumeration Date
2011-09-13
Last Update Date
2016-06-04
Business Address
-- JACK LAWRENCE
1901 UNION BLVD
ALLENTOWN, PA 18109-1676
Phone number: 640-437-5353
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Mailing Address
-- JACK LAWRENCE
135 3RD AVE APT 4K
MINEOLA, NY 11501-3924
Phone number: 570-856-0615
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