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1376146183
ROXAN BARDALL
PHILADELPHIA, PA
NPI
1376146183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: PA SP022642)
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
ROXAN BARDALL CRNP
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-955-6000
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Mailing Address
ROXAN BARDALL CRNP
1201 JACKSON ST UNIT 144
PHILADELPHIA, PA 19148-2943
Phone number: 201-660-3975
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