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1699767459
BARBARA RIDEOUT
PHILADELPHIA, PA
NPI
1699767459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner, Community Health
(Licence: PA TP004431C)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
-- BARBARA RIDEOUT C.R.N.P.
850 N 11TH ST
PHILADELPHIA, PA 19123-1957
Phone number: 215-769-1100
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Mailing Address
-- BARBARA RIDEOUT C.R.N.P.
5843 WOODBINE AVE
PHILADELPHIA, PA 19131-1205
Phone number: 215-877-8257
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