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1093563470
MIRIUM MAMMEN
PHILADELPHIA, PA
NPI
1093563470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT023449)
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
MIRIUM MAMMEN DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
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Mailing Address
MIRIUM MAMMEN DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
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