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1871235986
JEFFERSON EBUBE
PHILADELPHIA, PA
NPI
1871235986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA HS000192L)
Enumeration Date
2022-04-09
Last Update Date
2022-04-11
Business Address
JEFFERSON EBUBE MD
8815 GERMANTOWN AVE
PHILADELPHIA, PA 19118-2722
Phone number: 215-248-8147
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Mailing Address
JEFFERSON EBUBE MD
8815 GERMANTOWN AVE 5TH FLOOR
PHILADELPHIA, PA 19118-2765
Phone number: 215-248-8145
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