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Organization
PRISION HEALTH SERVICE
Active
Organization
PRISION HEALTH SERVICE
Active
Parent organization
YES
Other names
State Correctional Instution Chester
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
REGINA V LUBERTI (CERTIFIED FAMILY NURSE PRACTITIONER)
(610) 543-4769
Entity
Organization
Contact information
Practice address
400 EAST 5TH ST., CHESTER, PA 19013
(610) 490-5412
Mailing address
400 E 5TH ST, CHESTER, PA 19013
(484) 680-4921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007623
PA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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