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1316556566
KELLY ANNA FETTERHOFF
HARRISBURG, PA
NPI
1316556566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP022261)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
Miss KELLY ANNA FETTERHOFF CRNP
205 S FRONT ST
HARRISBURG, PA 17104-1619
Phone number: 717-231-8360
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Mailing Address
Miss KELLY ANNA FETTERHOFF CRNP
1699 POTTSVILLE ST
LYKENS, PA 17048-9633
Phone number: 717-395-4929
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