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1578921359
TRI-STATE SPORT AND SPINE, PLLC
PHILADELPHIA, PA
NPI
1578921359
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Entity Type
Organization
Authorized Contact
MICHAEL DOUGHERTY
Owner
609-760-0386
Organization Subpart ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: PA DC010688)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
TRI-STATE SPORT AND SPINE, PLLC
100 SOUTH BROAD STREET 1800
PHILADELPHIA, PA 19110
Phone number: 215-988-9503
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Mailing Address
TRI-STATE SPORT AND SPINE, PLLC
110 WHARTON ST
PHILADELPHIA, PA 19147-5425
Phone number: 609-760-0386
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