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1013600063
KELLY STAPLES
PHILADELPHIA, PA
NPI
1013600063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA OT022340)
Enumeration Date
2023-05-26
Last Update Date
2023-05-26
Business Address
KELLY STAPLES DO
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
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Mailing Address
KELLY STAPLES DO
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
Copy
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