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1548280381
CONSTANCE LEE BALLEM LEACH
PHILADELPHIA, PA
NPI
1548280381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP007552)
Enumeration Date
2006-07-21
Last Update Date
2024-04-22
Business Address
CONSTANCE LEE BALLEM LEACH CRNP
850 N 11TH ST
PHILADELPHIA, PA 19123-1957
Phone number: 215-769-1100
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Mailing Address
CONSTANCE LEE BALLEM LEACH CRNP
135 E LEHIGH AVE
PHILADELPHIA, PA 19125-1011
Phone number: 215-425-5400
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