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1861414351
LISA MARIE P GENTRY
PHILADELPHIA, PA
NPI
1861414351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA VP006632B)
Enumeration Date
2006-07-24
Last Update Date
2018-04-09
Business Address
LISA MARIE P GENTRY CRNP
3998 RED LION ROAD
PHILADELPHIA, PA 19114
Phone number: 215-807-8000
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Mailing Address
LISA MARIE P GENTRY CRNP
1075 VALLEY RD
WARMINSTER, PA 18974-1846
Phone number: 267-249-8838
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