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1184896714
ROSE CICCARIELLO FAGAN
DAYTON, OH
NPI
1184896714
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Professional Name
ROSE CICCARIELLO FAGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH 0198739-22)
Enumeration Date
2008-03-24
Last Update Date
2009-04-01
Business Address
Ms. ROSE CICCARIELLO FAGAN CNP
3640 COLONEL GLENN HWY 051 STUDENT UNION
DAYTON, OH 45435-0001
Phone number: 937-775-2552
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Mailing Address
Ms. ROSE CICCARIELLO FAGAN CNP
PO BOX 750002
CENTERVILLE, OH 45475
Phone number: 937-775-2552
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