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1174100663
DEREK SWANSON
PHILADELPHIA, PA
NPI
1174100663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2022-03-10
Business Address
DEREK SWANSON
3400 CIVIC CENTER BOULEVARD 4 SOUTH PAVILION, DEPARTMENT OF ORAL AND MAXILLOFACIAL
PHILADELPHIA, PA 19104
Phone number: 215-900-3506
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Mailing Address
DEREK SWANSON
3400 CIVIC CENTER BOULEVARD 4 SOUTH PAVILION, PCAM
PHILADELPHIA, PA 19104
Phone number: 215-900-3506
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