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Individual

RALPH J DEMARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
333 BAINBRIDGE ST, 1ST FLOOR, PHILA, PA 19147
(215) 922-6333
(215) 922-6310
Mailing address
333 BAINBRIDGE ST, 1ST FLOOR, PHILA, PA 19147
(215) 922-6333
(215) 922-6310

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006178L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01561895
PA
01
0167580000
PERSONAL CHOICE GROUP
PA
Enumeration date
09/15/2006
Last updated
01/03/2008
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