Individual
MR. GEORGE LEO SQUIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
612 W GAY ST, WEST CHESTER, PA 19380-2855
(484) 266-9791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP005458B
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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