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1972197069
NICOLE MARIE BASSOUNAS
PHILADELPHIA, PA
NPI
1972197069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP023004)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
NICOLE MARIE BASSOUNAS CRNP, FNP-C
925 CHESTNUT ST STE 220A
PHILADELPHIA, PA 19107-4248
Phone number: 215-955-8874
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Mailing Address
NICOLE MARIE BASSOUNAS CRNP, FNP-C
1527 PINE ST APT 3F
PHILADELPHIA, PA 19102-4643
Phone number: 717-649-3255
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