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1326798448
IAN HARRISON SHIELDS
PHILADELPHIA, PA
NPI
1326798448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
IAN HARRISON SHIELDS
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 251-599-0406
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Mailing Address
IAN HARRISON SHIELDS
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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