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1124136007
TANYA DENICE MALONE
PHILADELPHIA, PA
NPI
1124136007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS010061L)
Enumeration Date
2006-08-29
Last Update Date
2012-06-08
Business Address
Dr. TANYA DENICE MALONE D.O.
2840 W DAUPHIN ST
PHILADELPHIA, PA 19132-4627
Phone number: 215-685-2403
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Mailing Address
Dr. TANYA DENICE MALONE D.O.
1429 E JOHNSON ST
PHILADELPHIA, PA 19138-1107
Phone number: 215-407-8208
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