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1417582396
MASSA KEITA
PHILADELPHIA, PA
NPI
1417582396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN302295)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
MASSA KEITA
6800 GUYER AVE
PHILADELPHIA, PA 19142-2519
Phone number: 267-580-3136
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Mailing Address
MASSA KEITA
6800 GUYER AVE
PHILADELPHIA, PA 19142-2519
Phone number:
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