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1104290386
AMY KAITLYN MATTA
PHILADELPHIA, PA
NPI
1104290386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP015648)
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
-- AMY KAITLYN MATTA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-349-8310
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Mailing Address
-- AMY KAITLYN MATTA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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