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1174147540
KATHRYN O'SULLIVAN STACK
PHILADELPHIA, PA
NPI
1174147540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA MT221148)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
Dr. KATHRYN O'SULLIVAN STACK MD
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
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Mailing Address
Dr. KATHRYN O'SULLIVAN STACK MD
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
Copy
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