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1922558741
LENI S.G MAMPALLIL
KING OF PRUSSIA, 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
2024-12-09
Business Address
Mrs. LENI S.G MAMPALLIL CRNP
120 VALLEY GREEN LN STE 510
KING OF PRUSSIA, PA 19406-2080
Phone number: 484-327-7171
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Mailing Address
Mrs. LENI S.G MAMPALLIL CRNP
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 19073-2336
Phone number: 484-337-1632
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