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Organization

JEAN CLAUDE ST. GERMAIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN-CLAUDE ST. GERMAIN (OWNER)
(215) 472-2550
Entity
Organization

Contact information

Practice address
49 N 52ND ST, PHILADELPHIA, PA 19139-2644
(215) 472-2550
(215) 472-2551
Mailing address
49 N 52ND ST, PHILADELPHIA, PA 19139-2644
(215) 472-2550
(215) 472-2551

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00707046
PA
Enumeration date
04/14/2017
Last updated
04/14/2017
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