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1366105488
DIANNE L CHURCH
ERIE, PA
NPI
1366105488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP021459)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
DIANNE L CHURCH CRNP
100 PEACH ST STE 200
ERIE, PA 16507-1423
Phone number: 814-877-7733
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Mailing Address
DIANNE L CHURCH CRNP
3913 WAGNER AVE
ERIE, PA 16510-3935
Phone number: 814-403-7703
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