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1124497953
BENNY INSIXIENGMAY
PHILADELPHIA, PA
NPI
1124497953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT019464)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- BENNY INSIXIENGMAY
6212 WALNUT ST REHAB DEPARTMENT
PHILADELPHIA, PA 19139-3706
Phone number: 267-531-6038
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Mailing Address
-- BENNY INSIXIENGMAY
1229 CHESTNUT ST APT 516
PHILADELPHIA, PA 19107-4124
Phone number:
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