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1083920136
DERRISHA HARDWARE
PLYMOUTH MEETING, PA
NPI
1083920136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP059XXXXX)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
-- DERRISHA HARDWARE LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- DERRISHA HARDWARE LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number:
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