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Individual

KELLY MARIE LOMAX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6706 SYLVESTER ST, PHILADELPHIA, PA 19149-2216
(267) 468-9377
Mailing address
6706 SYLVESTER ST, PHILADELPHIA, PA 19149-2216
(267) 468-9377

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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