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Individual

JACKIE LINH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4015 CHICHESTER AVE, UPPER CHICHESTER, PA 19061-3138
(610) 494-4422
Mailing address
5903 N LEITHGOW ST, PHILADELPHIA, PA 19120-1830

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002763
PA

Other

Enumeration date
11/07/2011
Last updated
11/07/2011
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