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1417573403
BRANDON HENRY LY
PHILADELPHIA, PA
NPI
1417573403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL013102)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
BRANDON HENRY LY
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
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Mailing Address
BRANDON HENRY LY
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
Copy
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