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1528110780
LATRISE JEFFERSON
WASHINGTON, DC
NPI
1528110780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: DC MD034722)
Enumeration Date
2007-01-17
Last Update Date
2007-11-27
Business Address
-- LATRISE JEFFERSON MD
110 IRVING ST NW
WASHINGTON, DC 20010-2976
Phone number: 202-877-9696
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Mailing Address
-- LATRISE JEFFERSON MD
1000 RIVER RD STE 100
CONSHOHOCKEN, PA 19428-2439
Phone number: 800-355-3818
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