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1205031697
KORISHA GADDIE
PLYMOUTH MEETING, PA
NPI
1205031697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27048650A)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- KORISHA GADDIE LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- KORISHA GADDIE LPN
3854 WIND DRIFT DRIVE 2A
INDIANAPOLIS, IN 46254
Phone number:
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