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1417311226
DEBORAH ANN STALLWORTH
PHILADELPHIA, PA
NPI
1417311226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: PA SP013407)
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
DEBORAH ANN STALLWORTH
821 E UPSAL ST
PHILADELPHIA, PA 19119-1542
Phone number: 215-764-9679
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Mailing Address
DEBORAH ANN STALLWORTH
821 E UPSAL ST
PHILADELPHIA, PA 19119-1542
Phone number: 215-844-4278
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