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1538117130
MICA L VANFOSSEN
PITTSBURGH, PA
NPI
1538117130
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Former Name
MICA BOSO VANFOSSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA RN307612L)
Enumeration Date
2006-05-05
Last Update Date
2020-10-13
Business Address
MICA L VANFOSSEN CRNA
500 LEWIS RUN RD SUITE 202
PITTSBURGH, PA 15122-3056
Phone number: 412-469-6964
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Mailing Address
MICA L VANFOSSEN CRNA
100 MEDICAL BLVD
CANONSBURG, PA 15317-9762
Phone number: 412-359-6581
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