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1235659020
ELENA DETARANTO
PAOLI, PA
NPI
1235659020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP017498)
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
ELENA DETARANTO FNP
1776 E LANCASTER AVE
PAOLI, PA 19301-1550
Phone number: 610-647-4366
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Mailing Address
ELENA DETARANTO FNP
1 BROWN ST UNIT 1621
PHILADELPHIA, PA 19123-3356
Phone number: 201-407-8086
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