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1114543279
IRYNA MAZUR
PHILADELPHIA, PA
NPI
1114543279
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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 mt220685)
Enumeration Date
2020-06-24
Last Update Date
2021-01-19
Business Address
IRYNA MAZUR MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 904-554-2795
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Mailing Address
IRYNA MAZUR MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-2000
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