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1669406971
PORTIA CONIX
PHILADELPHIA, PA
NPI
1669406971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS007790L)
Enumeration Date
2006-07-10
Last Update Date
2007-07-09
Business Address
-- PORTIA CONIX D.O.
1300 S 18TH ST
PHILADELPHIA, PA 19146-4601
Phone number: 215-467-6320
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Mailing Address
-- PORTIA CONIX D.O.
255 S 17TH ST
PHILADELPHIA, PA 19103-6231
Phone number: 215-546-7049
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