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1336884709
FATIMA FOFANAH
PHILADELPHIA, PA
NPI
1336884709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-30
Last Update Date
2022-04-30
Business Address
FATIMA FOFANAH
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103-2733
Phone number: 888-922-2843
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Mailing Address
FATIMA FOFANAH
2616 S SYLMAR ST
PHILADELPHIA, PA 19142-2125
Phone number: 215-607-9832
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