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1477051514
OTHELLO SAYE KWAIDAH
PHILADELPHIA, PA
NPI
1477051514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP018472)
Enumeration Date
2018-01-23
Last Update Date
2018-06-22
Business Address
OTHELLO SAYE KWAIDAH CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140
Phone number: 215-707-4600
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Mailing Address
OTHELLO SAYE KWAIDAH CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-4600
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