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1508105206
SUSAN THOMAS
PHILADELPHIA, PA
NPI
1508105206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP012502)
Enumeration Date
2013-01-31
Last Update Date
2017-04-06
Business Address
-- SUSAN THOMAS
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-8484
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Mailing Address
-- SUSAN THOMAS
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-8484
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