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1285010801
CITYLIFE-PA, PC
PHILADELPHIA, PA
NPI
1285010801
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Entity Type
Organization
Authorized Contact
WILLIAM BRADLEY ROUSE
EVP
615-708-4487
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
CITYLIFE-PA, PC
3945 CHESTNUT ST 2ND FLOOR
PHILADELPHIA, PA 19104-3621
Phone number: 267-819-1800
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Mailing Address
CITYLIFE-PA, PC
2020 21ST AVE S SUITE 202
NASHVILLE, TN 37212-4354
Phone number: 615-708-4487
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