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1245344043
SALLY D LANE
PHILADELPHIA, PA
NPI
1245344043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: PA MD17324E)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
-- SALLY D LANE M.D.
5735 RIDGE AVE SUITE 103
PHILADELPHIA, PA 19128-1745
Phone number: 215-487-3070
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Mailing Address
-- SALLY D LANE M.D.
5735 RIDGE AVE SUITE 103
PHILADELPHIA, PA 19128-1745
Phone number: 215-487-3070
Copy
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