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1720184682
GEORGE LEO SQUIRE
COATESVILLE, PA
NPI
1720184682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: PA VP005458B)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
MR. GEORGE LEO SQUIRE CRNP
1400 BLACKHORSE HILL RD
COATESVILLE, PA 19320-2040
Phone number: 610-384-7711
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Mailing Address
MR. GEORGE LEO SQUIRE CRNP
612 W GAY ST
WEST CHESTER, PA 19380-2855
Phone number: 484-266-9791
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