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1124125695
JYOTI DIVYAKANT DESAI
PHILADELPHIA, PA
NPI
1124125695
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Former Name
JYOTI SURESHCHANDRA UPADHYA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NO11478600)
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
Mrs. JYOTI DIVYAKANT DESAI
3900 WOODLAND AVE PHILADELPHIA VA MEDICAL CENTER
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
Mrs. JYOTI DIVYAKANT DESAI
3900 WOODLAND AVE PHILADELPHIA VA MEDICAL CENTER
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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