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Individual

MRS. DORA R. PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
937 DUNCAN AVE, YEADON, PA 19050-3706
(610) 626-0476

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001011L
PA

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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