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1356088272
IVY ELIZABETH DEEGAN
ERIE, PA
NPI
1356088272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP025602)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
IVY ELIZABETH DEEGAN CRNP
4740 PEACH ST
ERIE, PA 16509-2008
Phone number: 814-454-3174
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Mailing Address
IVY ELIZABETH DEEGAN CRNP
1 LECOM PL
ERIE, PA 16505-2571
Phone number: 814-868-2507
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