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1700536729
KURSHAAD AKHNATON CHEENIBASS
PHILADELPHIA, PA
NPI
1700536729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
KURSHAAD AKHNATON CHEENIBASS
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4829
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Mailing Address
KURSHAAD AKHNATON CHEENIBASS
1801 GARVEY AVE APT 209
ALHAMBRA, CA 91803-5214
Phone number: 954-821-1907
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