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1336600402
NEDSSA DORSAINVIL
PHILADELPHIA, PA
NPI
1336600402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP019930)
Enumeration Date
2019-03-29
Last Update Date
2019-03-29
Business Address
NEDSSA DORSAINVIL CRNP
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7071
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Mailing Address
NEDSSA DORSAINVIL CRNP
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7170
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