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1841959970
CASEY KOODRAY
PHILADELPHIA, PA
NPI
1841959970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA062904)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
CASEY KOODRAY MSPAS
3551 N BROAD ST
PHILADELPHIA, PA 19140-4131
Phone number: 215-430-4000
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Mailing Address
CASEY KOODRAY MSPAS
209 LAUREL LN
PERKASIE, PA 18944-1252
Phone number:
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