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1104403062
SOPHIA DESROSIERS
PHILADELPHIA, PA
NPI
1104403062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD484831)
Enumeration Date
2021-03-26
Last Update Date
2024-06-10
Business Address
SOPHIA DESROSIERS
1316 W ONTARIO ST # A
PHILADELPHIA, PA 19140-5220
Phone number: 215-707-2400
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Mailing Address
SOPHIA DESROSIERS
3500 N BROAD ST RM 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-926-9019
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