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1285104885
JONATHAN CARMEN PANETTA
SPOKANE, WA
NPI
1285104885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60909970)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
JONATHAN CARMEN PANETTA
105 W 8TH AVE
SPOKANE, WA 99204-2302
Phone number: 905-992-1888
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Mailing Address
JONATHAN CARMEN PANETTA
327 HILLCREST AVE
ERIE, PA 16509-1512
Phone number: 814-323-5732
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