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1659987907
KHATIFA BUNDY
PHILADELPHIA, PA
NPI
1659987907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA pn312123)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
KHATIFA BUNDY
2327 W HAGERT ST
PHILADELPHIA, PA 19132-4246
Phone number: 267-736-0893
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Mailing Address
KHATIFA BUNDY
2327 W HAGERT ST
PHILADELPHIA, PA 19132-4246
Phone number: 267-736-0893
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