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1043493901
HENRIETTA D MTSHALI
PHILADELPHIA, PA
NPI
1043493901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA003230L)
Enumeration Date
2007-12-13
Last Update Date
2016-03-18
Business Address
-- HENRIETTA D MTSHALI PA-C
2100 W GIRARD AVE
PHILADELPHIA, PA 19130-1400
Phone number: 215-685-0800
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Mailing Address
-- HENRIETTA D MTSHALI PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-1408
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