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1861154403
MIYAKO TAMADA
PHILADELPHIA, PA
NPI
1861154403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP023521)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
MIYAKO TAMADA
7515 STENTON AVE
PHILADELPHIA, PA 19150-3710
Phone number: 215-842-5246
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Mailing Address
MIYAKO TAMADA
513 PATRICIA DR
GLENSIDE, PA 19038-2824
Phone number: 215-300-2710
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