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1922492735
NICOLE DEROSE
WYNNEWOOD, PA
NPI
1922492735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP014550)
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
-- NICOLE DEROSE CRNP
100 E LANCASTER AVE SUITE 230
WYNNEWOOD, PA 19096-3450
Phone number: 610-642-3796
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Mailing Address
-- NICOLE DEROSE CRNP
100 E LANCASTER AVE SUITE 230
WYNNEWOOD, PA 19096-3450
Phone number: 610-642-3796
Copy
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