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1760127773
NAFISA SADE OUTLAW
PHILADELPHIA, PA
NPI
1760127773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: PA 739258)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
NAFISA SADE OUTLAW
5804 N MARSHALL ST
PHILADELPHIA, PA 19120-1315
Phone number: 268-368-3955
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Mailing Address
NAFISA SADE OUTLAW
5804 N MARSHALL ST
PHILADELPHIA, PA 19120-1315
Phone number: 268-368-3955
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