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1962974220
MICHAEL WATERS
PHILADELPHIA, PA
NPI
1962974220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN309237)
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
MICHAEL WATERS
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 215-416-2846
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Mailing Address
MICHAEL WATERS
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 215-416-2846
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