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Individual

MRS. DARLENE YVONNE OUATTARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
662 WHARTON BLVD, EXTON, PA 19341-1188
(610) 321-1940
(610) 471-0454
Mailing address
662 WHARTON BLVD, EXTON, PA 19341-1188
(610) 321-1940
(610) 471-0454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012561
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101061531
PA
Enumeration date
09/13/2005
Last updated
03/18/2014
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