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1225056401
PAUL G. VANDERVOORT
PHILADELPHIA, PA
NPI
1225056401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN546215)
Enumeration Date
2006-07-17
Last Update Date
2016-07-28
Business Address
PAUL G. VANDERVOORT CRNA
3998 RED LION RD
PHILADELPHIA, PA 19114-1436
Phone number: 215-612-4000
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Mailing Address
PAUL G. VANDERVOORT CRNA
1238 COX RD
RYDAL, PA 19046-1207
Phone number: 917-575-2151
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