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Lanard Donte Sanderlin Valid NPI

Individual provider · Driver · Philadelphia, PA

NPI
1902415383
Type
Individual (Type 1)
Primary specialty
Driver
Specialty group
Other Service Providers
Taxonomy code
172A00000X
License number
29434224 (PA)
Sex
Male
Sole proprietor
No
Enumerated
2020-07-30
Last updated
2021-11-08
Practice location
5242 Sylvester St
Philadelphia, PA 19124-1816
(267) 582-6571

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