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1598021446
REGINA HUDOCK
PHILADELPHIA, PA
NPI
1598021446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP011942)
Enumeration Date
2012-04-04
Last Update Date
2016-05-03
Business Address
-- REGINA HUDOCK
111 S 11TH ST SUITE 1950
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-9207
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Mailing Address
-- REGINA HUDOCK
111 S 11TH ST SUITE 1950 GIBBONE
PHILADELPHIA, PA 19107-4824
Phone number:
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