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1518004357
CHRISANNE HENNICKE
PITTSBURGH, PA
NPI
1518004357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA-002764-L)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- CHRISANNE HENNICKE PA-C
200 LOTHROP ST
PITTSBURGH, PA 15213-2536
Phone number: 412-647-3685
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Mailing Address
-- CHRISANNE HENNICKE PA-C
115 HELENA ST
ELIZABETH, PA 15037-2440
Phone number: 412-896-1423
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