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1518647239
BETHANY DIVELL
ERIE, PA
NPI
1518647239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP027834)
Enumeration Date
2023-07-18
Last Update Date
2023-09-21
Business Address
BETHANY DIVELL CRNP
311 W 24TH ST STE 101
ERIE, PA 16502-2668
Phone number: 814-452-4214
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Mailing Address
BETHANY DIVELL CRNP
4606 WOLF RD
ERIE, PA 16505-1451
Phone number: 814-746-6563
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