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AGATHA CRISTY PEDRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2200 S DIXON RD, KOKOMO, IN 46902-6410
(765) 455-4443
Mailing address
2200 S DIXON RD, KOKOMO, IN 46902-6410
(765) 455-4443

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31004591A
IN

Other

Enumeration date
08/07/2015
Last updated
08/07/2015
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