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1104052794
CHRISTINE A DEFOREST
PHILADELPHIA, PA
NPI
1104052794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OS023866)
Enumeration Date
2009-06-09
Last Update Date
2024-09-17
Business Address
Dr. CHRISTINE A DEFOREST D.O.
51 N. 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 412-973-3102
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Mailing Address
Dr. CHRISTINE A DEFOREST D.O.
51 N 39TH ST M01 MYRIN BASEMENT
PHILADELPHIA, PA 19104-2692
Phone number: 412-973-3102
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