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1265917264
NESDI RIVERA
PHILADELPHIA, PA
NPI
1265917264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA060176)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
NESDI RIVERA
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-1956
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Mailing Address
NESDI RIVERA
37 BREWERYTOWN CT
PHILADELPHIA, PA 19121-4430
Phone number: 201-478-1910
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