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1508364043
JULIE PETRO MONGIELLO
PHILADELPHIA, PA
NPI
1508364043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA VP005388D)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
JULIE PETRO MONGIELLO CRNP
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
JULIE PETRO MONGIELLO CRNP
4106 MEADOW LN
NEWTOWN SQUARE, PA 19073-1612
Phone number: 484-680-2828
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