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1942502992
CHARLA MARIE PHOENIX
NEWARK, DE
NPI
1942502992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: DE C5-0000735)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
Ms. CHARLA MARIE PHOENIX PAC
620 STANTON CHRISTIANA RD SUITE 302
NEWARK, DE 19713-2133
Phone number: 302-892-9400
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Mailing Address
Ms. CHARLA MARIE PHOENIX PAC
620 STANTON CHRISTIANA RD SUITE 302
NEWARK, DE 19713-2133
Phone number: 302-892-9400
Copy
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