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1891764213
JUMAAH INGRAM JOHNSON
PHILADELPHIA, PA
NPI
1891764213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: PA PT017980)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
Ms. JUMAAH INGRAM JOHNSON DPT
1616 WALNUT ST SUITE 210
PHILADELPHIA, PA 19103-5313
Phone number: 215-545-8717
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Mailing Address
Ms. JUMAAH INGRAM JOHNSON DPT
420 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1568
Phone number: 215-629-1270
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