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1992901995
LISA SOUTHWICK
BURLINGTON, NJ
NPI
1992901995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP05377300)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- LISA SOUTHWICK LPN
261 CONNECTICUT DR SUITE 5
BURLINGTON, NJ 08016-4177
Phone number: 800-950-6066
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Mailing Address
-- LISA SOUTHWICK LPN
22 W 4TH ST
FLORENCE, NJ 08518-1902
Phone number:
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