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1386198083
NINA C VITAL
PHILADELPHIA, PA
NPI
1386198083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA058542)
Enumeration Date
2016-08-10
Last Update Date
2022-07-21
Business Address
-- NINA C VITAL PA-C
3400 SPRUCE STREET 4 SILVERTSTEIN
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2096
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Mailing Address
-- NINA C VITAL PA-C
3400 SPRUCE STREET 4 SILVERSTEIN
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2096
Copy
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