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1902394745
LISA TILLMAN EDISON
NEW ORLEANS, LA
NPI
1902394745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date
2018-04-26
Last Update Date
2018-04-27
Business Address
Ms. LISA TILLMAN EDISON
2331 CANAL ST
NEW ORLEANS, LA 70119-6503
Phone number: 304-307-3737
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Mailing Address
Ms. LISA TILLMAN EDISON
PO BOX 3017
HARVEY, LA 70059-3017
Phone number: 504-451-7337
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