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1508440363
CARLY ANN PASTILOCK
PHILADELPHIA, PA
NPI
1508440363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP023354)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
CARLY ANN PASTILOCK
2601 HOLME AVE
PHILADELPHIA, PA 19152-2007
Phone number: 215-335-6000
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Mailing Address
CARLY ANN PASTILOCK
534 LIBERTY DR
YARDLEY, PA 19067-4511
Phone number: 267-566-3603
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