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1558636043
JONATHAN NIDOCK
PHILADELPHIA, PA
NPI
1558636043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: PA MSG001159)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
Mr. JONATHAN NIDOCK LMT
9 E MORELAND AVE
PHILADELPHIA, PA 19118-3512
Phone number: 267-254-4712
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Mailing Address
Mr. JONATHAN NIDOCK LMT
228 E BENEZET ST
PHILADELPHIA, PA 19118-4411
Phone number: 267-254-4712
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