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1952988529
CAROLINE BLAKE GRANRUTH
PHILADELPHIA, PA
NPI
1952988529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-28
Last Update Date
2021-03-28
Business Address
Dr. CAROLINE BLAKE GRANRUTH MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4000
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Mailing Address
Dr. CAROLINE BLAKE GRANRUTH MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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