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1740954700
MICHAEL IRELAND
PHILADELPHIA, PA
NPI
1740954700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP024157)
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
MICHAEL IRELAND PMHNP
3535 MARKET ST STE 1230
PHILADELPHIA, PA 19104-3309
Phone number: 610-892-3800
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Mailing Address
MICHAEL IRELAND PMHNP
3005 GRAYS FERRY AVE UNIT 3809
PHILADELPHIA, PA 19146-5300
Phone number: 215-609-2701
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