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1619367489
INDEPENDENT CONTRACTOR
PHILADELPHIA, PA
NPI
1619367489
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Entity Type
Organization
Authorized Contact
NWABUNWANNE ANTHONY OKAFOR
Bsc
215-715-7999
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: PA BH002478)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
INDEPENDENT CONTRACTOR
9406 KREWSTOWN RD
PHILADELPHIA, PA 19115-3713
Phone number: 215-464-2939
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Mailing Address
INDEPENDENT CONTRACTOR
9406 KREWSTOWN RD
PHILADELPHIA, PA 19115-3713
Phone number: 215-464-2939
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