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1891263703
LISA JEAN WILCOX
PHILADELPHIA, PA
NPI
1891263703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL014264)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
LISA JEAN WILCOX
2622 JASPER ST
PHILADELPHIA, PA 19125-1125
Phone number: 206-353-5708
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Mailing Address
LISA JEAN WILCOX
2622 JASPER ST
PHILADELPHIA, PA 19125-1125
Phone number: 206-353-5708
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