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1134699002
LATISHA FARLOW
PHILADELPHIA, PA
NPI
1134699002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA pn306125)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
LATISHA FARLOW
2708 S 55TH DR APT 2A
PHILADELPHIA, PA 19143-6237
Phone number: 215-303-7589
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Mailing Address
LATISHA FARLOW
2708 S 55TH DR APT 2A
PHILADELPHIA, PA 19143-6237
Phone number: 215-303-7589
Copy
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