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1104443100
CHARLES JONATHAN LYERLY
PHILADELPHIA, PA
NPI
1104443100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: PA SC007120)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
CHARLES JONATHAN LYERLY DPM
235 N BROAD ST
PHILADELPHIA, PA 19107-1531
Phone number: 215-568-3510
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Mailing Address
CHARLES JONATHAN LYERLY DPM
235 N BROAD ST
PHILADELPHIA, PA 19107-1531
Phone number: 215-568-3510
Copy
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