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1548898554
MARK BASHA KEROLES
PHILADELPHIA, PA
NPI
1548898554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
MARK BASHA KEROLES
800 SPRUCE ST
PHILADELPHIA, PA 19107-6192
Phone number: 215-829-5410
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Mailing Address
MARK BASHA KEROLES
800 SPRUCE ST
PHILADELPHIA, PA 19107-6192
Phone number: 215-829-5410
Copy
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