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1760859003
DAVID LOOSE
WILMINGTON, DE
NPI
1760859003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: DE L2-0008567)
Enumeration Date
2015-08-21
Last Update Date
2015-08-21
Business Address
-- DAVID LOOSE LPN
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-656-2348
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Mailing Address
-- DAVID LOOSE LPN
106 GRIER AVE
WILMINGTON, DE 19804-1607
Phone number: 302-373-8747
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