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1811104078
SHELBY SQUARE
PLYMOUTH MEETING, PA
NPI
1811104078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: PA PN259915L)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- SHELBY SQUARE
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- SHELBY SQUARE
3501 BRISTOL OXFORD VALLEY RD APT. 304
LEVITTOWN, PA 19057-2903
Phone number: 215-949-0105
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