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1073139325
LOUISE AKA EZOUA
PHILADELPHIA, PA
NPI
1073139325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP022076)
Enumeration Date
2020-06-23
Last Update Date
2023-06-30
Business Address
LOUISE AKA EZOUA CRNP
5600 CHESTNUT ST
PHILADELPHIA, PA 19139-3232
Phone number: 609-456-1419
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Mailing Address
LOUISE AKA EZOUA CRNP
3361 TULIP ST
PHILADELPHIA, PA 19134-3293
Phone number: 609-456-1419
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