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1508132291
SUSAN WALL
PAOLI, PA
NPI
1508132291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP011945)
Enumeration Date
2012-03-27
Last Update Date
2015-10-22
Business Address
-- SUSAN WALL
255 W LANCASTER AVE
PAOLI, PA 19301-1763
Phone number: 484-565-1600
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Mailing Address
-- SUSAN WALL
255 W LANCASTER AVE
PAOLI, PA 19301-1763
Phone number: 484-565-1600
Copy
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