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1104101807
JENNIFER LAURA DEUEL
PHILADELPHIA, PA
NPI
1104101807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA055252)
Enumeration Date
2011-10-13
Last Update Date
2016-03-14
Business Address
-- JENNIFER LAURA DEUEL PA-C
3400 CIVIC CENTER BLVD PCAM 4 SOUTH
PHILADELPHIA, PA 19104-5127
Phone number: 215-349-8222
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Mailing Address
-- JENNIFER LAURA DEUEL PA-C
3400 CIVIC CENTER BLVD PCAM 4 SOUTH
PHILADELPHIA, PA 19104-5127
Phone number: 215-349-8222
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