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1982063541
BATHSHEBA SWAIN
PENNSAUKEN, NJ
NPI
1982063541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2016-02-11
Last Update Date
2016-02-11
Business Address
-- BATHSHEBA SWAIN
2217 43RD ST
PENNSAUKEN, NJ 08110
Phone number: 609-332-6862
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Mailing Address
-- BATHSHEBA SWAIN
2217 43RD ST
PENNSAUKEN, NJ 08110-2129
Phone number: 609-332-6862
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