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1871230987
JENNIFER SUSAN ROMAN
PHILADELPHIA, PA
NPI
1871230987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP025738)
Enumeration Date
2022-05-19
Last Update Date
2022-06-08
Business Address
JENNIFER SUSAN ROMAN CRNP
1101 MARKET ST
PHILADELPHIA, PA 19107-2934
Phone number: 215-503-4722
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Mailing Address
JENNIFER SUSAN ROMAN CRNP
649 S HENDERSON RD APT D410
KING OF PRUSSIA, PA 19406-3548
Phone number: 484-431-7014
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