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Individual

GEORGE HOWARD IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
3829 BRANDYWINE ST, PHILADELPHIA, PA 19104-2309

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN096246L
PA

Other

Enumeration date
05/24/2010
Last updated
05/24/2010
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