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1215048186
NANCY L WIEDEMER
PHILADELPHIA, PA
NPI
1215048186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP003334C)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Ms. NANCY L WIEDEMER CRNP
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
Ms. NANCY L WIEDEMER CRNP
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
Copy
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