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1083911408
KADIAN SASHA-GAY ENNIS
PHILADELPHIA, PA
NPI
1083911408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP021495)
Enumeration Date
2011-02-21
Last Update Date
2020-03-09
Business Address
Mrs. KADIAN SASHA-GAY ENNIS Nurse Practitioner
1401 S 31ST ST
PHILADELPHIA, PA 19146-3506
Phone number: 215-925-2400
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Mailing Address
Mrs. KADIAN SASHA-GAY ENNIS Nurse Practitioner
1401 S 31ST ST FL 2
PHILADELPHIA, PA 19146-3506
Phone number: 215-925-9162
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