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1033445705
PHYLLIS NIBLACK
PLYMOUTH MEETING, PA
NPI
1033445705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN184321L)
Enumeration Date
2009-10-30
Last Update Date
2009-10-30
Business Address
PHYLLIS NIBLACK
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
PHYLLIS NIBLACK
4538 FERNHILL RD
PHILADELPHIA, PA 19144-4223
Phone number:
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