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1164769600
JENNIFER ANNE AVANTAGIATO
FORT RILEY, KS
NPI
1164769600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-75885-012)
Enumeration Date
2013-01-03
Last Update Date
2018-07-16
Business Address
JENNIFER ANNE AVANTAGIATO APRN-C
650 HUEBNER RD
FORT RILEY, KS 66442
Phone number: 785-239-7042
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Mailing Address
JENNIFER ANNE AVANTAGIATO APRN-C
650 HUEBNER RD
FORT RILEY, KS 66442-4030
Phone number: 785-239-7042
Copy
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