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1912196981
LISSETTE ORTIZ DE PRYOR
TRENTON, NJ
NPI
1912196981
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Former Name
LISSETTE ORTIZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00186200)
Enumeration Date
2007-10-16
Last Update Date
2017-03-20
Business Address
-- LISSETTE ORTIZ DE PRYOR PA-C
321 N WARREN ST HENRY J AUSTIN HEALTH CENTER INC
TRENTON, NJ 08618-4741
Phone number: 609-278-5939
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Mailing Address
-- LISSETTE ORTIZ DE PRYOR PA-C
3100 SPRING FOREST RD STE 130
RALEIGH, NC 27616-2880
Phone number: 919-882-0706
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