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1326237462
EDNA GANTT
PLYMOUTH MEETING, PA
NPI
1326237462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN034576L)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
-- EDNA GANTT
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- EDNA GANTT
PO BOX 19056
PHILADELPHIA, PA 19138-0056
Phone number: 215-548-1198
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