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1710763081
JELISA S SMITH
ELKINS PARK, PA
NPI
1710763081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: PA 73943601)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
Ms. JELISA S SMITH
7401 OLD YORK RD
ELKINS PARK, PA 19027-3005
Phone number: 267-693-6333
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Mailing Address
Ms. JELISA S SMITH
7401 OLD YORK RD
ELKINS PARK, PA 19027-3005
Phone number: 267-693-6333
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