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1518034925
IRENE MIZOBE CONNOLLY
PHILADELPHIA, PA
NPI
1518034925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT006318L)
Enumeration Date
2006-11-29
Last Update Date
2013-10-17
Business Address
-- IRENE MIZOBE CONNOLLY PT, MS
45 N 3RD ST
PHILADELPHIA, PA 19106-4508
Phone number: 609-922-0814
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Mailing Address
-- IRENE MIZOBE CONNOLLY PT, MS
51 N 3RD ST BOX 302
PHILADELPHIA, PA 19106-4517
Phone number: 609-922-0814
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