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1790558021
KA'DEEM RIDDICK
SUFFOLK, VA
NPI
1790558021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center Adult Day Care
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
KA'DEEM RIDDICK
416 MARKET ST
SUFFOLK, VA 23434-5236
Phone number: 757-809-1409
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Mailing Address
KA'DEEM RIDDICK
416 MARKET ST
SUFFOLK, VA 23434-5236
Phone number: 757-809-1409
Copy
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