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1972111326
ANUMOL JACOB
PHILADELPHIA, PA
NPI
1972111326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP021587)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
ANUMOL JACOB CRNP
5600 CHESTNUT ST
PHILADELPHIA, PA 19139-3232
Phone number: 215-747-4511
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Mailing Address
ANUMOL JACOB CRNP
717 PARKER LN
SPRINGFIELD, PA 19064-1304
Phone number: 610-457-2162
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