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Individual

JO ELLEN WISNOSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICAC, CMT

Contact information

Practice address
1624 COLONIAL MANOR DR, LANCASTER, PA 17603-6032
(717) 723-1362
Mailing address
1624 COLONIAL MANOR DR, LANCASTER, PA 17603-6032
(717) 723-1362

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000973
PA
225700000X
Massage Therapist

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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