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1023753290
TINA M O'MARA
PHILADELPHIA, PA
NPI
1023753290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP025465)
Enumeration Date
2022-05-03
Last Update Date
2022-09-21
Business Address
TINA M O'MARA CRNP
333 COTTMAN AVE
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-4300
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Mailing Address
TINA M O'MARA CRNP
9461 LANSFORD ST
PHILADELPHIA, PA 19114-2625
Phone number: 215-380-9237
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