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1114514882
LATIFAH NELSON
PHILADELPHIA, PA
NPI
1114514882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP023488)
Enumeration Date
2020-12-28
Last Update Date
2021-10-10
Business Address
LATIFAH NELSON CRNP
6501 HARBISON AVE
PHILADELPHIA, PA 19149-2912
Phone number: 215-333-4300
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Mailing Address
LATIFAH NELSON CRNP
6501 HARBISON AVE
PHILADELPHIA, PA 19149-2912
Phone number: 215-333-4300
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