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1245650696
DIPIKA JAIRAM GOPAL
PHILADELPHIA, PA
NPI
1245650696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA MT205758)
Enumeration Date
2014-04-24
Last Update Date
2022-02-11
Business Address
-- DIPIKA JAIRAM GOPAL M.D.
3400 SPRUCE STREET 100 CENTREX
PHILADELPHIA, PA 19104
Phone number: 215-662-2200
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Mailing Address
-- DIPIKA JAIRAM GOPAL M.D.
3400 SPRUCE STREET 100 CENTREX
PHILADELPHIA, PA 19104
Phone number: 215-662-2200
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