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SYMPHORIEN ANDRE KAMANOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
8001 STATE RD, PHILADELPHIA, PA 19136-2908
(215) 685-8215
Mailing address
26 EDGEMONT AVE, CLIFTON HEIGHTS, PA 19018-1726
(484) 477-7493

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024118
PA

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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