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1699024075
JOSEPH SO
PHILADELPHIA, PA
NPI
1699024075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: PA PT022052)
Enumeration Date
2012-08-31
Last Update Date
2015-09-11
Business Address
JOSEPH SO PT
169 W CHEW AVE
PHILADELPHIA, PA 19120-2454
Phone number: 215-983-0635
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Mailing Address
JOSEPH SO PT
111 N 9TH ST
PHILADELPHIA, PA 19107-2460
Phone number: 215-983-0635
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