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1548963721
DANIEL FAIRBANKS CHILDERS
PHILADELPHIA, PA
NPI
1548963721
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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
2023-03-24
Last Update Date
2023-03-24
Business Address
Mr. DANIEL FAIRBANKS CHILDERS
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-6305
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Mailing Address
Mr. DANIEL FAIRBANKS CHILDERS
2101 WISCONSIN AVE NW APT 327
WASHINGTON, DC 20007-2404
Phone number: 908-967-7409
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