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1255674354
OO HTAIK
PHILADELPHIA, PA
NPI
1255674354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX Q8910)
Enumeration Date
2013-03-27
Last Update Date
2017-08-14
Business Address
-- OO HTAIK
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-9837
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Mailing Address
-- OO HTAIK
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-9837
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