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1982201315
JAMIE KAKKANATTU
PHILADELPHIA, PA
NPI
1982201315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP022189)
Enumeration Date
2020-10-08
Last Update Date
2023-05-15
Business Address
Miss JAMIE KAKKANATTU CRNP
833 CHESTNUT ST STE 205
PHILADELPHIA, PA 19107-4426
Phone number: 215-955-6835
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Mailing Address
Miss JAMIE KAKKANATTU CRNP
833 CHESTNUT ST STE 205
PHILADELPHIA, PA 19107-4426
Phone number: 215-955-6835
Copy
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