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1275704322
DEIDRA DAVIS
PLYMOUTH MEETING, PA
NPI
1275704322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27027830A)
Enumeration Date
2008-03-17
Last Update Date
2008-03-17
Business Address
-- DEIDRA DAVIS
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- DEIDRA DAVIS
5094 PIN OAK DR
INDIANAPOLIS, IN 46254-1495
Phone number:
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