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1053644542
KELLY ANNE IMPHONG
BALTIMORE, MD
NPI
1053644542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
-- KELLY ANNE IMPHONG
301 ST. PAUL PLACE DEPT. OF CARDIOLOGY
BALTIMORE, MD 21202-2102
Phone number: 410-332-9722
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Mailing Address
-- KELLY ANNE IMPHONG
301 ST. PAUL PLACE MEDICAL STAFF OFFICE
BALTIMORE, MD 21202-2102
Phone number:
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