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1386802098
ALISE WOLFGANG
PHILADELPHIA, PA
NPI
1386802098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP009379)
Enumeration Date
2008-05-29
Last Update Date
2013-12-31
Business Address
-- ALISE WOLFGANG CRNP-BC
1100 WALNUT ST 5TH FLOOR MOB
PHILADELPHIA, PA 19107-5563
Phone number: 215-503-7326
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Mailing Address
-- ALISE WOLFGANG CRNP-BC
1100 WALNUT ST 5TH FLOOR MOB
PHILADELPHIA, PA 19107-5563
Phone number: 215-503-7326
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