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1790071413
KENYA N MARTIN
PHILADELPHIA, PA
NPI
1790071413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP011228)
Enumeration Date
2011-06-21
Last Update Date
2017-01-20
Business Address
-- KENYA N MARTIN CRNP
2804 SOUTHAMPTON RD
PHILADELPHIA, PA 19154-1207
Phone number: 215-677-0930
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Mailing Address
-- KENYA N MARTIN CRNP
2804 SOUTHAMPTON RD CONCENTRA
PHILADELPHIA, PA 19154-1207
Phone number: 215-677-0930
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