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1114687068
JACQUELYN LAUREN OSWALD
PHILADELPHIA, PA
NPI
1114687068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP025053)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
JACQUELYN LAUREN OSWALD
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
JACQUELYN LAUREN OSWALD
2840 HAVERFORD RD
ARDMORE, PA 19003-1715
Phone number: 215-479-5466
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