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1164072039
KELLY ELIZABETH TANNEY
WILLIAMSPORT, PA
NPI
1164072039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA061065)
Enumeration Date
2019-09-12
Last Update Date
2022-04-05
Business Address
KELLY ELIZABETH TANNEY PA-C
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1907
Phone number: 570-326-8005
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Mailing Address
KELLY ELIZABETH TANNEY PA-C
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1900
Phone number:
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