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1164640785
DIANNE EVETTE VICE
PLYMOUTH MEETING, PA
NPI
1164640785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MD lp33332)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- DIANNE EVETTE VICE
2250 HICKORY RD STE 240
PLYMOUTH MEETING, PA 19462-2225
Phone number: 800-879-4471
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Mailing Address
-- DIANNE EVETTE VICE
6009 WAKEHURST WAY
BALTIMORE, MD 21239-2420
Phone number: 443-629-9637
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