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1679959001
AGATHA CRISTY PEDRO
KOKOMO, IN
NPI
1679959001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: IN 31004591A)
Enumeration Date
2015-08-07
Last Update Date
2015-08-07
Business Address
-- AGATHA CRISTY PEDRO OTR
2200 S DIXON RD
KOKOMO, IN 46902-6410
Phone number: 765-455-4443
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Mailing Address
-- AGATHA CRISTY PEDRO OTR
2200 S DIXON RD
KOKOMO, IN 46902-6410
Phone number: 765-455-4443
Copy
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