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1336703230
DANITA JEFFERSON
PHILADELPHIA, PA
NPI
1336703230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA 304470)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
DANITA JEFFERSON Lpn
4911 N CAMAC ST
PHILADELPHIA, PA 19141-3503
Phone number: 215-805-0675
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Mailing Address
DANITA JEFFERSON Lpn
4911 N CAMAC ST
PHILADELPHIA, PA 19141-3503
Phone number: 215-805-0675
Copy
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