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1891330890
COREY ELMER
PHILADELPHIA, PA
NPI
1891330890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA 1165473)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
COREY ELMER
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number: 215-456-7890
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Mailing Address
COREY ELMER
4924 JACKSON DR
BROOKHAVEN, PA 19015-1008
Phone number:
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