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1083194914
CAROLINE CUCKLER SHANE
PHILADELPHIA, PA
NPI
1083194914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP018621)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
CAROLINE CUCKLER SHANE CRNP
4865 MARKET ST
PHILADELPHIA, PA 19139-3508
Phone number: 267-425-9800
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Mailing Address
CAROLINE CUCKLER SHANE CRNP
6 POST RD
MALVERN, PA 19355-3509
Phone number:
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