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1346860145
ANTONIO MAYHEW
PHILADELPHIA, PA
NPI
1346860145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: PA 47863601)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
ANTONIO MAYHEW
1244 N 64TH ST
PHILADELPHIA, PA 19151
Phone number: 267-997-0372
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Mailing Address
ANTONIO MAYHEW
1244 N 64TH ST
PHILADELPHIA, PA 19151
Phone number: 267-997-0372
Copy
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