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Individual

CHARLES O'DONNELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, CRNP, PMHNP-BC

Contact information

Practice address
5060 STATE RD, 2ND FLOOR, DREXEL HILL, PA 19026-4609
(610) 626-8085
(610) 626-8032
Mailing address
5060 STATE RD, 2ND FLOOR, DREXEL HILL, PA 19026-4609
(610) 626-8085
(610) 626-8032

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP012172
PA

Other

Enumeration date
07/14/2012
Last updated
10/03/2013
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