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1760072409
KERLANGE MENTOR
PHILADELPHIA, PA
NPI
1760072409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP023149)
Enumeration Date
2021-01-26
Last Update Date
2021-10-18
Business Address
KERLANGE MENTOR
7515 STENTON AVE
PHILADELPHIA, PA 19150-3710
Phone number: 267-257-5245
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Mailing Address
KERLANGE MENTOR
1919 SMITH AVE
WILLOW GROVE, PA 19090-3818
Phone number: 267-257-5245
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