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1770089930
FOTTFAM BAGUIO LABOUFF
PHILADELPHIA, PA
NPI
1770089930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA059727)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
FOTTFAM BAGUIO LABOUFF PA-C
555 S 43RD ST
PHILADELPHIA, PA 19104-4408
Phone number: 215-685-7504
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Mailing Address
FOTTFAM BAGUIO LABOUFF PA-C
7240 RIDGE AVE
PHILADELPHIA, PA 19128-3203
Phone number: 209-598-3180
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