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1336430339
KENYA GARY
PHILADELPHIA, PA
NPI
1336430339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP011360)
Enumeration Date
2011-04-25
Last Update Date
2011-04-25
Business Address
-- KENYA GARY CRNP
6514 HARLAN ST
PHILADELPHIA, PA 19151-3709
Phone number: 484-614-8838
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Mailing Address
-- KENYA GARY CRNP
6514 HARLAN ST
PHILADELPHIA, PA 19151-3709
Phone number: 484-614-8838
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