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1740328418
ISSAM MALKOUN
BOOTHWYN, PA
NPI
1740328418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: PA 23273485)
Enumeration Date
2007-02-02
Last Update Date
2011-05-02
Business Address
Mr. ISSAM MALKOUN Optician
3103 CHICHESTER AVE
BOOTHWYN, PA 19061-3117
Phone number: 610-494-4320
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Mailing Address
Mr. ISSAM MALKOUN Optician
427 SOUTH AVE
MEDIA, PA 19063-3215
Phone number: 610-566-9272
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