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1316267222
SOPHIA MARIE GOVOROV
PHILADELPHIA, PA
NPI
1316267222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA053247)
Enumeration Date
2010-06-03
Last Update Date
2021-09-02
Business Address
MRS. SOPHIA MARIE GOVOROV P.A.-C
400 W ALLEGHENY AVENUE UNITE B-5
PHILADELPHIA, PA 19133
Phone number: 215-207-0522
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Mailing Address
MRS. SOPHIA MARIE GOVOROV P.A.-C
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130-2908
Phone number: 215-599-4851
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