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1578192175
DWIGHT MITCHELL SELF
PHILADELPHIA, PA
NPI
1578192175
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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
2020-04-06
Last Update Date
2020-04-06
Business Address
DWIGHT MITCHELL SELF MD
909 WALNUT ST FL 2
PHILADELPHIA, PA 19107-5211
Phone number: 215-955-7000
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Mailing Address
DWIGHT MITCHELL SELF MD
909 WALNUT ST FL 3
PHILADELPHIA, PA 19107-5211
Phone number: 215-503-7008
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