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1861125197
THERESA BANMEKE
PHILADELPHIA, PA
NPI
1861125197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP025422)
Enumeration Date
2022-07-05
Last Update Date
2022-12-13
Business Address
THERESA BANMEKE CRNP
3615 CHESTNUT RALSTON PENN CENTER
PHILADELPHIA, PA 19104-2612
Phone number: 215-662-2746
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Mailing Address
THERESA BANMEKE CRNP
3615 CHESTNUT RALSTON PENN CENTER
PHILADELPHIA, PA 19104-2612
Phone number: 215-662-2746
Copy
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