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1558780775
NINA A BLACKHURST
PHILADELPHIA, PA
NPI
1558780775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS039585)
Enumeration Date
2014-04-15
Last Update Date
2019-04-29
Business Address
Dr. NINA A BLACKHURST D.M.D.
2200 ARCH ST STE 102
PHILADELPHIA, PA 19103
Phone number: 302-723-2403
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Mailing Address
Dr. NINA A BLACKHURST D.M.D.
1123 S 23RD ST
PHILADELPHIA, PA 19146-2835
Phone number: 302-723-2403
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