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1407540602
SARA ELIZABETH WALLACE-KEESHEN
PHILADELPHIA, PA
NPI
1407540602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP027631)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
Ms. SARA ELIZABETH WALLACE-KEESHEN FNP-BC
2144 CECIL B MOORE AVE
PHILADELPHIA, PA 19121-4014
Phone number: 215-320-6187
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Mailing Address
Ms. SARA ELIZABETH WALLACE-KEESHEN FNP-BC
2650 AGATE ST
PHILADELPHIA, PA 19125-2302
Phone number: 864-275-4820
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