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1902390461
JOLLY S VARGHESE
PHILADELPHIA, PA
NPI
1902390461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP018875)
Enumeration Date
2018-06-19
Last Update Date
2021-12-05
Business Address
Ms. JOLLY S VARGHESE CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-5864
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Mailing Address
Ms. JOLLY S VARGHESE CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-2433
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