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1730962952
ANNA ANTONOVA
PHILADELPHIA, PA
NPI
1730962952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP028340)
Enumeration Date
2023-08-14
Last Update Date
2024-01-10
Business Address
ANNA ANTONOVA
6501 HARBISON AVE
PHILADELPHIA, PA 19149-2912
Phone number: 215-333-4300
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Mailing Address
ANNA ANTONOVA
2263 PLUM AVE
BENSALEM, PA 19020-3538
Phone number: 267-752-5511
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