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1427642263
TIA ROSE WISDO
PHILADELPHIA, PA
NPI
1427642263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12070)
Enumeration Date
2021-02-23
Last Update Date
2022-03-15
Business Address
TIA ROSE WISDO
4170 CITY AVE
PHILADELPHIA, PA 19131
Phone number: 215-871-6100
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Mailing Address
TIA ROSE WISDO
4170 CITY AVE
PHILADELPHIA, PA 19131
Phone number: 215-871-6100
Copy
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