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1659093698
MARIAMMA MATHEW IDICHANDY
PHILADELPHIA, PA
NPI
1659093698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: PA 210460994)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
MARIAMMA MATHEW IDICHANDY
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number: 215-456-7890
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Mailing Address
MARIAMMA MATHEW IDICHANDY
7707 BRADFORD ST
PHILADELPHIA, PA 19152-3809
Phone number: 215-983-4486
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