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1336914894
KATHERINE DISSTON
PHILADELPHIA, PA
NPI
1336914894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP028706)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
KATHERINE DISSTON CRNP
5003 UMBRIA ST
PHILADELPHIA, PA 19128-4369
Phone number: 215-483-3444
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Mailing Address
KATHERINE DISSTON CRNP
4626 SPRUCE ST APT 4
PHILADELPHIA, PA 19139-4582
Phone number: 203-434-0559
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