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1598929382
CAROL A PROUD
PHILADELPHIA, PA
NPI
1598929382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP 009781)
Enumeration Date
2008-07-11
Last Update Date
2015-09-03
Business Address
Ms. CAROL A PROUD CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2428
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Mailing Address
Ms. CAROL A PROUD CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-862-2428
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