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1295090074
DIANE M WOODFORD
PHILADELPHIA, PA
NPI
1295090074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA UP004883B)
Enumeration Date
2012-07-09
Last Update Date
2018-06-26
Business Address
Mrs. DIANE M WOODFORD CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4600
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Mailing Address
Mrs. DIANE M WOODFORD CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-4600
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