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1710526942
NICKI SADEGHIPOUR
PHILADELPHIA, PA
NPI
1710526942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA061084)
Enumeration Date
2020-01-06
Last Update Date
2020-01-14
Business Address
NICKI SADEGHIPOUR
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-2000
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Mailing Address
NICKI SADEGHIPOUR
412 N FRONT ST UNIT 29
PHILADELPHIA, PA 19123-4238
Phone number: 267-614-6269
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