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1992448062
JACOB MADEIRA
PHILADELPHIA, PA
NPI
1992448062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN628956)
Enumeration Date
2022-04-18
Last Update Date
2024-05-24
Business Address
JACOB MADEIRA CRNA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
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Mailing Address
JACOB MADEIRA CRNA
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8244
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