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1972946036
AMY VAN BRUG
PHILADELPHIA, PA
NPI
1972946036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: PA 09987)
Enumeration Date
2013-04-09
Last Update Date
2014-11-09
Business Address
-- AMY VAN BRUG MT-BC
2959 CHATHAM ST
PHILADELPHIA, PA 19134-4328
Phone number: 908-415-5603
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Mailing Address
-- AMY VAN BRUG MT-BC
2959 CHATHAM ST
PHILADELPHIA, PA 19134-4328
Phone number: 908-415-5603
Copy
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