NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1578813366
CARPENTER
STACEY
 
 
4700 WISSAHICKON AVE
PHILADELPHIA
PA
191444248
1790093938
HALE
MICHAEL-LYNN
 
 
4700 WISSAHICKON AVE
PHILADELPHIA
PA
191444248
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