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1992208037
LISA KOTASEK
MIDLOTHIAN, VA
NPI
1992208037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202002745)
Enumeration Date
2018-03-15
Last Update Date
2018-03-23
Business Address
LISA KOTASEK
13900 HULL STREET RD
MIDLOTHIAN, VA 23112-2004
Phone number: 804-639-8788
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Mailing Address
LISA KOTASEK
13900 HULL STREET RD
MIDLOTHIAN, VA 23112-2004
Phone number:
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