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Organization
PEAR PROGRAM INC
Active
Organization
PEAR PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JACKSON NP (OWNER/PROVIDER)
(484) 969-0045
Entity
Organization
Contact information
Practice address
1010 MOUNT PLEASANT AVE, WAYNE, PA 19087-2715
(484) 969-0045
Mailing address
1010 MOUNT PLEASANT AVE, WAYNE, PA 19087-2715
(484) 969-0045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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