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1376267542
JACOB BUDDEMEIER
WYNNEWOOD, PA
NPI
1376267542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP026347)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
JACOB BUDDEMEIER
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 484-565-1048
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Mailing Address
JACOB BUDDEMEIER
173 JUNIPER RD
HAVERTOWN, PA 19083-5409
Phone number: 215-407-2937
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