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1215973821
STEVEN R WEASEN
PHILADELPHIA, PA
NPI
1215973821
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Entity Type
Organization
Authorized Contact
STEVEN R WEASEN
Owner
215-463-3939
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: PA MD033733E)
Enumeration Date
2006-06-21
Last Update Date
2008-12-03
Business Address
STEVEN R WEASEN
2146 S BROAD ST 1ST FLOOR
PHILADELPHIA, PA 19145-3905
Phone number: 215-463-3939
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Mailing Address
STEVEN R WEASEN
2146 S BROAD ST 1ST FLOOR
PHILADELPHIA, PA 19145-3905
Phone number: 215-463-3939
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