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1093418964
JEFFREY S PONKE
FOREST, VA
NPI
1093418964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101277770)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
Dr. JEFFREY S PONKE MD
1149 VISTA PARK DR STE C
FOREST, VA 24551-4685
Phone number: 434-616-2455
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Mailing Address
Dr. JEFFREY S PONKE MD
18 PAISLEY WAY
ORANGEVILLE, ON L9W 6Z5
Phone number:
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