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1366561656
DIANE E RADVANSKY
PHILADELPHIA, PA
NPI
1366561656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA VP005392-B)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Ms. DIANE E RADVANSKY CRNP
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7337
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Mailing Address
Ms. DIANE E RADVANSKY CRNP
1980 SUPPLEE RD
LANSDALE, PA 19446-5563
Phone number: 215-456-7337
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