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1093909459
HUMBERTO DE LA CRUZ
PHILADELPHIA, PA
NPI
1093909459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
Mr. HUMBERTO DE LA CRUZ
120 W WYOMING AVE
PHILADELPHIA, PA 19140-1629
Phone number: 267-297-6848
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Mailing Address
Mr. HUMBERTO DE LA CRUZ
120 W WYOMING AVE
PHILADELPHIA, PA 19140-1629
Phone number: 267-297-6848
Copy
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