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1194111427
BETHANY IRENE MOONEY
PHILADELPHIA, PA
NPI
1194111427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP014811)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
-- BETHANY IRENE MOONEY CRNP
3400 CIVIC CENTER BLVD PCAM 2ND FLOOR WEST
PHILADELPHIA, PA 19104-5127
Phone number: 215-615-5858
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Mailing Address
-- BETHANY IRENE MOONEY CRNP
3400 CIVIC CENTER BLVD PCAM 2ND FLOOR WEST
PHILADELPHIA, PA 19104-5127
Phone number: 215-615-5858
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