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Individual

MINU S JERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
52 FERN RD, SOUTHAMPTON, PA 18966-3023
(267) 241-9632
Mailing address
2755 PHILMONT AVE STE 115, HUNTINGDON VALLEY, PA 19006-5368
(215) 947-4100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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