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PEARL LAKE
Military Health Care Provider
NPI: 1053907261Individual
Specialties, Licenses & Credentials
Military Health Care Provider
Code: 171000000X
70000634RMA(PA)7000.000000634RMA(PA)
Contact & Hours
- Address
- 2214 S 57TH ST
PHILADELPHIA, PA 19143 - Phone
- (886) 884-8807
Quick Facts
- NPI
- 1053907261
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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