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1821784737
MARY KATE ROTH
PHILADELPHIA, PA
NPI
1821784737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: PA SP027437)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
MARY KATE ROTH CRNP
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6060
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Mailing Address
MARY KATE ROTH CRNP
2518 CHRISTIAN ST
PHILADELPHIA, PA 19146-2314
Phone number: 240-383-0050
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