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1760119648
KETMA PERICLES
CAMBRIDGE, MA
NPI
1760119648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN69424)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
KETMA PERICLES
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139-1047
Phone number: 781-397-6546
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Mailing Address
KETMA PERICLES
36 TEA PARTY WAY
MALDEN, MA 02148-1980
Phone number: 781-922-1097
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