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1922558741
LENI S.G MAMPALLIL
MEDIA, PA
NPI
1922558741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PR SP016853)
Enumeration Date
2016-10-04
Last Update Date
2018-06-07
Business Address
Mrs. LENI S.G MAMPALLIL CRNP
200 E STATE ST STE 100
MEDIA, PA 19063-3434
Phone number: 610-891-9277
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Mailing Address
Mrs. LENI S.G MAMPALLIL CRNP
5201 PENNELL ROAD
ASTON, PA 19014
Phone number: 610-891-9277
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