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1992749535
SHANIN R GROSS
PHILADELPHIA, PA
NPI
1992749535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS011030L)
Enumeration Date
2006-06-15
Last Update Date
2020-12-15
Business Address
SHANIN R GROSS D.O.
809 LOCUST ST
PHILADELPHIA, PA 19107-5507
Phone number: 215-563-0658
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Mailing Address
SHANIN R GROSS D.O.
809 LOCUST ST
PHILADELPHIA, PA 19107-5507
Phone number: 215-563-0658
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