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1154501666
ALPHONSO G GENTRY
PHILADELPHIA, PA
NPI
1154501666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
-- ALPHONSO G GENTRY MSW
2514 N BROAD ST
PHILADELPHIA, PA 19132-4013
Phone number: 215-599-2830
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Mailing Address
-- ALPHONSO G GENTRY MSW
2514 N BROAD ST
PHILADELPHIA, PA 19132-4013
Phone number: 215-599-2830
Copy
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