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1912302746
KRISTIAN LATHAM
PHILADELPHIA, PA
NPI
1912302746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: PA 25983601)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- KRISTIAN LATHAM
327 RACE ST APT 2B
PHILADELPHIA, PA 19106-1834
Phone number: 609-304-5302
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Mailing Address
-- KRISTIAN LATHAM
327 RACE ST APT 2B
PHILADELPHIA, PA 19106-1834
Phone number: 609-304-5302
Copy
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