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1346680519
KSENIA SMIRNOV
PHILADELPHIA, PA
NPI
1346680519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP012947)
Enumeration Date
2013-07-02
Last Update Date
2013-07-02
Business Address
Mrs. KSENIA SMIRNOV CRNP
9880 BUSTLETON AVE SUITE 208
PHILADELPHIA, PA 19115-2185
Phone number: 215-677-0667
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Mailing Address
Mrs. KSENIA SMIRNOV CRNP
700 MASON DR
WARMINSTER, PA 18974-2706
Phone number: 267-243-0671
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