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1982886198
LISA M MOULSE
ROANOKE, VA
NPI
1982886198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305205181)
Enumeration Date
2007-11-29
Last Update Date
2008-08-15
Business Address
-- LISA M MOULSE DPT
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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Mailing Address
-- LISA M MOULSE DPT
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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