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1437574233
KELLY WURST
PHILADELPHIA, PA
NPI
1437574233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA sp013688)
Enumeration Date
2014-03-03
Last Update Date
2015-12-09
Business Address
-- KELLY WURST
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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Mailing Address
-- KELLY WURST
51 N 39TH ST PHI 2C
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9000
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