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1871834572
SANDHRA THEKKUMTHALA
PHILADELPHIA, PA
NPI
1871834572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA UP006998C)
Enumeration Date
2013-03-06
Last Update Date
2013-03-11
Business Address
-- SANDHRA THEKKUMTHALA CRNP
3400 SPRUCE ST GROUND RHOADS
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355
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Mailing Address
-- SANDHRA THEKKUMTHALA CRNP
3400 SPRUCE ST GROUND RHOADS
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355
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