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Individual

JOAN MARIE MAGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6816 EDMUND ST, PHILADELPHIA, PA 19135-2302
(267) 608-3796
Mailing address
6816 EDMUND ST, PHILADELPHIA, PA 19135-2302
(267) 608-3796

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP023764
PA
363LX0106X
Occupational Health Nurse Practitioner
SP023764
PA

Other

Enumeration date
06/04/2021
Last updated
06/04/2021
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