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1366108052
LAURELL SAMPLE
PHILADELPHIA, PA
NPI
1366108052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA sp024642)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
LAURELL SAMPLE CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-8306
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Mailing Address
LAURELL SAMPLE CRNP
1605 NORRISTOWN RD
AMBLER, PA 19002-2744
Phone number: 267-970-1694
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