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Organization
DIVERSE BODY SCULPTURING
Active
Organization
DIVERSE BODY SCULPTURING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKAIL ABDUL KARIM BMS (OWNER/ BIO MECHANIC SPECIALIST)
(267) 586-9504
Entity
Organization
Contact information
Practice address
7224 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1749
(267) 586-9504
Mailing address
7224 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1749
(267) 586-9504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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