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1104028752
NANCY L FANNIE
WEXFORD, PA
NPI
1104028752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA VP001180G)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Mrs. NANCY L FANNIE RNC, CRNP
6400 BROOKTREE CT STE 230
WEXFORD, PA 15090-9271
Phone number: 724-933-7117
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Mailing Address
Mrs. NANCY L FANNIE RNC, CRNP
6400 BROOKTREE CT STE 230
WEXFORD, PA 15090-9271
Phone number: 724-933-7117
Copy
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