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Individual

JASMINE RENEE MCPHERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
802 WYNNEWOOD RD APT 2, PHILADELPHIA, PA 19151-3480
(214) 607-8114
Mailing address
802 WYNNEWOOD RD APT 2, PHILADELPHIA, PA 19151-3480

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310428
PA

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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