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1669221214
IAN MITCHELL AREVALO
PHILADELPHIA, PA
NPI
1669221214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OT023537)
Enumeration Date
2024-05-16
Last Update Date
2024-05-31
Business Address
Dr. IAN MITCHELL AREVALO DO
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 267-858-7248
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Mailing Address
Dr. IAN MITCHELL AREVALO DO
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 267-858-7248
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