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1285312157
KENESHA SHASHANA RICKETTS
MIAMI GARDENS, FL
NPI
1285312157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11027169)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
KENESHA SHASHANA RICKETTS
16401 NORTHWEST 37TH AVE
MIAMI GARDENS, FL 33054
Phone number: 954-391-0036
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Mailing Address
KENESHA SHASHANA RICKETTS
3225 N HIATUS RD UNIT 451432
FORT LAUDERDALE, FL 33345-8472
Phone number: 954-391-0036
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