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Individual

DR. NINA SOFIA UPHAM

Active
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Individual

DR. NINA SOFIA UPHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
60278739
WA
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD60278739
WA

Other

Enumeration date
04/10/2008
Last updated
01/22/2013
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