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1760468219
GENE J UPANAVAGE
LEHIGHTON, PA
NPI
1760468219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OS003176L)
Enumeration Date
2005-12-16
Last Update Date
2007-07-08
Business Address
-- GENE J UPANAVAGE DO
211 N 12TH ST
LEHIGHTON, PA 18235-1138
Phone number: 610-377-7080
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Mailing Address
-- GENE J UPANAVAGE DO
PO BOX 3012
WILMINGTON, DE 19804-0012
Phone number: 800-456-4629
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