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1639369507
MAKETA JOLLY
PLYMOUTH MEETING, PA
NPI
1639369507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN267669)
Enumeration Date
2007-07-27
Last Update Date
2007-07-27
Business Address
-- MAKETA JOLLY
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- MAKETA JOLLY
333 DARBY TER
DARBY, PA 19023-2610
Phone number: 610-586-0955
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