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1609300987
THRESHIA MALCOLM
PHILADELPHIA, PA
NPI
1609300987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-13
Last Update Date
2019-06-21
Business Address
THRESHIA MALCOLM M.D.
245 N 15TH ST
PHILADELPHIA, PA 19102
Phone number: 215-762-7000
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Mailing Address
THRESHIA MALCOLM M.D.
245 N 15TH ST
PHILADELPHIA, PA 19102-1101
Phone number: 215-762-7000
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