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1083031496
NEURO SOURCE DIAGNOSTICS, INC
PHILADELPHIA, PA
NPI
1083031496
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Entity Type
Organization
Authorized Contact
RYAN ROSSIEN
Owner
215-460-7475
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2014-03-24
Last Update Date
2014-03-25
Business Address
NEURO SOURCE DIAGNOSTICS, INC
9276 JAMISON AVE UNIT A
PHILADELPHIA, PA 19115-4281
Phone number: 215-460-7475
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Mailing Address
NEURO SOURCE DIAGNOSTICS, INC
9276 JAMISON AVE UNIT A
PHILADELPHIA, PA 19115-4281
Phone number: 215-460-7475
Copy
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