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1497306336
ELLEN R SUPERDOCK
LEBANON, PA
NPI
1497306336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP020508)
Enumeration Date
2019-09-23
Last Update Date
2021-03-04
Business Address
ELLEN R SUPERDOCK CRNP
920 CHURCH ST
LEBANON, PA 17046-4656
Phone number: 717-272-2700
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Mailing Address
ELLEN R SUPERDOCK CRNP
304 N WATER ST
LANCASTER, PA 17603-3374
Phone number: 717-735-6808
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