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1588810931
MARCUS WAYNE THREADGILL
PHILADELPHIA, PA
NPI
1588810931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN589196)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
Mr. MARCUS WAYNE THREADGILL RN
205 E WILDEY ST
PHILADELPHIA, PA 19125-4136
Phone number: 215-687-7620
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Mailing Address
Mr. MARCUS WAYNE THREADGILL RN
205 E WILDEY ST
PHILADELPHIA, PA 19125-4136
Phone number: 215-687-7620
Copy
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