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1104476605
TARA MULVEY PHILLIPS
PHILADELPHIA, PA
NPI
1104476605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP020108)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
TARA MULVEY PHILLIPS CRNP
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 203-710-4883
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Mailing Address
TARA MULVEY PHILLIPS CRNP
1621 VALLEY GREENE RD
PAOLI, PA 19301-1032
Phone number: 203-710-4883
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