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1629581186
SARA LYNN MCDONOUGH
PHILADELPHIA, PA
NPI
1629581186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA TBD)
Enumeration Date
2017-11-07
Last Update Date
2018-05-20
Business Address
SARA LYNN MCDONOUGH CPNP-AC
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Phone number: 215-590-5538
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Mailing Address
SARA LYNN MCDONOUGH CPNP-AC
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-341-3316
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