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1649802711
CHANTELL DESHIELDS
PHILADELPHIA, PA
NPI
1649802711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP020342)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
CHANTELL DESHIELDS NP
2 PENN BLVD STE 103
PHILADELPHIA, PA 19144-1402
Phone number: 215-842-0406
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Mailing Address
CHANTELL DESHIELDS NP
442 E PHIL ELLENA ST
PHILADELPHIA, PA 19119-1943
Phone number: 267-974-3971
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