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1295821742
VATHANA O. BUNYA
PHILADELPHIA, PA
NPI
1295821742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: PA MD035212L)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- VATHANA O. BUNYA
2415 N 33RD ST
PHILADELPHIA, PA 19132-2804
Phone number: 215-225-6222
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Mailing Address
-- VATHANA O. BUNYA
2415 N 33RD ST
PHILADELPHIA, PA 19132-2804
Phone number: 215-225-6222
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