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1992485403
ANITRA MACK
PHILADELPHIA, PA
NPI
1992485403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN305638)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
ANITRA MACK LPN
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131-4714
Phone number: 215-879-6116
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Mailing Address
ANITRA MACK LPN
311 MACDONALD CLOSE
BEAR, DE 19701-8306
Phone number: 267-259-7405
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