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1013657295
KENNETH CHARLES AGNEW
ERIE, PA
NPI
1013657295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP025288)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
Mr. KENNETH CHARLES AGNEW CRNP
5037 CRYSTAL DR
ERIE, PA 16505-2913
Phone number: 814-218-1850
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Mailing Address
Mr. KENNETH CHARLES AGNEW CRNP
5037 CRYSTAL DR
ERIE, PA 16505-2913
Phone number: 814-218-1850
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