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1730593062
MARY ST LEDGER
PHILADELPHIA, PA
NPI
1730593062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP013810)
Enumeration Date
2014-06-14
Last Update Date
2016-07-20
Business Address
-- MARY ST LEDGER NP
125 S 9TH ST
PHILADELPHIA, PA 19107-5125
Phone number: 215-592-4500
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Mailing Address
-- MARY ST LEDGER NP
1500 MARKET ST LM 500 WEST TOWER
PHILADELPHIA, PA 19102-2100
Phone number: 215-985-2595
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