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1063092377
ALEC S KELLISH
PHILADELPHIA, PA
NPI
1063092377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-11
Last Update Date
2021-04-11
Business Address
ALEC S KELLISH
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107-4206
Phone number: 267-339-3738
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Mailing Address
ALEC S KELLISH
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107-4206
Phone number: 267-339-3738
Copy
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