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1962810069
ALICIA ANNE MAMIENSKI
PHILADELPHIA, PA
NPI
1962810069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP013806)
Enumeration Date
2014-08-01
Last Update Date
2014-08-01
Business Address
-- ALICIA ANNE MAMIENSKI CRNP
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-5127
Phone number: 267-425-4650
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Mailing Address
-- ALICIA ANNE MAMIENSKI CRNP
233 GOLF HILLS RD
HAVERTOWN, PA 19083-1034
Phone number: 347-804-4424
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