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1932382157
LISA ROSS
BROOKLYN, NY
NPI
1932382157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 012302)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
Miss LISA ROSS physician assistant
2100 BEEKMAN PL APARTMENT 5S
BROOKLYN, NY 11225-4845
Phone number: 718-940-6595
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Mailing Address
Miss LISA ROSS physician assistant
2100 BEEKMAN PL APARTMENT 5S
BROOKLYN, NY 11225-4845
Phone number: 718-940-6595
Copy
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