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1265195838
MARYELLEN FAVATA
PHILADELPHIA, PA
NPI
1265195838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN653863)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
MARYELLEN FAVATA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
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Mailing Address
MARYELLEN FAVATA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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