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Individual

DR. LISA A. MAFFUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
187 PINE ST, KINGSTON, NY 12401-4527
(845) 000-0000
Mailing address
187 PINE ST, KINGSTON, NY 12401-4527

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X010080
NY

Other

Enumeration date
10/19/2007
Last updated
10/19/2007
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