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1255022786
TERRANCE MACK
PHILADELPHIA, PA
NPI
1255022786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: PA 64953601)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
TERRANCE MACK
5137 N 16TH ST
PHILADELPHIA, PA 19141-1605
Phone number: 267-259-2902
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Mailing Address
TERRANCE MACK
5137 N 16TH ST
PHILADELPHIA, PA 19141-1605
Phone number: 267-259-2902
Copy
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