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1942600044
STEPHEN SMITH
PHILADELPHIA, PA
NPI
1942600044
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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 2255A2300X)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
STEPHEN SMITH
6504 WALNUT PARK DR
PHILADELPHIA, PA 19120-1032
Phone number: 267-283-5571
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Mailing Address
STEPHEN SMITH
6504 WALNUT PARK DR
PHILADELPHIA, PA 19120-1032
Phone number: 267-283-5571
Copy
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