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1205459807
DESMOND NNENANYA
PHILADELPHIA, PA
NPI
1205459807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA TLPN009373)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
DESMOND NNENANYA
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 267-292-2876
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Mailing Address
DESMOND NNENANYA
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 267-292-2876
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