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1699746990
FIDELIS O EJIANREH
ALTOONA, PA
NPI
1699746990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA BE8240652)
Enumeration Date
2006-01-27
Last Update Date
2019-03-11
Business Address
FIDELIS O EJIANREH D.O.
2032 E PLEASANT VALLEY BLVD
ALTOONA, PA 16602
Phone number: 814-684-3101
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Mailing Address
FIDELIS O EJIANREH D.O.
811 CRICKLEWOOD DR
STATE COLLEGE, PA 16803-1899
Phone number: 814-234-2226
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