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1417664145
KATHARINE BRUCKER
PHILADELPHIA, PA
NPI
1417664145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA sp023044)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
KATHARINE BRUCKER
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-906-3875
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Mailing Address
KATHARINE BRUCKER
717 MONROE AVE
GLENSIDE, PA 19038-2606
Phone number:
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