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Individual

MARY A DOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APN,C

Contact information

Practice address
1440 WOOD ST, BETHLEHEM, PA 18017-5931
(201) 317-2925
Mailing address
1440 WOOD ST, BETHLEHEM, PA 18017-5931
(201) 317-2925

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008143
PA
363LF0000X
Family Nurse Practitioner
26NN05287600
NJ

Other

Enumeration date
04/25/2007
Last updated
04/05/2019
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