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1962738237
LAKESHIA REVERON
PLYMOUTH MEETING, PA
NPI
1962738237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN274832)
Enumeration Date
2009-10-21
Last Update Date
2009-10-21
Business Address
-- LAKESHIA REVERON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- LAKESHIA REVERON
3440 AVON ROAD APT L-343
DEVON, PA 19333
Phone number:
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