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1578072021
JOHANNA FOSTER DETWILER
WILMINGTON, DE
NPI
1578072021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE C5-0001175)
Enumeration Date
2017-09-28
Last Update Date
2024-10-04
Business Address
JOHANNA FOSTER DETWILER PA-C
2722 CONCORD PIKE
WILMINGTON, DE 19803-5007
Phone number: 302-477-1406
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Mailing Address
JOHANNA FOSTER DETWILER PA-C
150 E WYNNEWOOD RD APT 10A
WYNNEWOOD, PA 19096-1526
Phone number: 253-678-8998
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