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CLARENCE STUPPARD, ADMINISTRATOR

ADMINISTRATOR

Home Health Agency

NPI: 1508175092Individual

Specialties, Licenses & Credentials

Community Health Worker

Code: 172V00000X

16713601(PA)

Home Health

Code: 251E00000X

16713601(PA)

Contact & Hours

Address
2924 BRIGHTON ST
PHILADELPHIA, PA 19149

Quick Facts

NPI
1508175092
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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