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1285835801
ROSE KOFFI BOURGOIN
PLYMOUTH MEETING, PA
NPI
1285835801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: DE L2-0009474)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- ROSE KOFFI BOURGOIN LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- ROSE KOFFI BOURGOIN LPN
5907 BYRON CT
NEWARK, DE 19702-3052
Phone number:
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