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1366982589
THERESA CONWAY
PHILADELPHIA, PA
NPI
1366982589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP016964)
Enumeration Date
2017-03-07
Last Update Date
2018-03-29
Business Address
THERESA CONWAY CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-1800
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Mailing Address
THERESA CONWAY CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-1800
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