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1497734685
ILA M PETERSON
WYNNEWOOD, PA
NPI
1497734685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA MD070185L)
Enumeration Date
2006-01-16
Last Update Date
2010-04-15
Business Address
-- ILA M PETERSON M.D.
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 610-645-8013
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Mailing Address
-- ILA M PETERSON M.D.
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 610-645-8013
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