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1194219097
MARY THERESA FANNING
YORK, PA
NPI
1194219097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP018724)
Enumeration Date
2018-06-15
Last Update Date
2020-01-24
Business Address
Miss MARY THERESA FANNING CRNP
2350 FREEDOM WAY STE 200
YORK, PA 17402-8200
Phone number: 717-812-5120
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Mailing Address
Miss MARY THERESA FANNING CRNP
19 CIRCLE DR
GLEN ROCK, PA 17327-1341
Phone number: 717-701-6046
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