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1598057424
KELLI K DESANCTIS
ERIE, PA
NPI
1598057424
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Former Name
KELLI K WIENECKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS016944)
Enumeration Date
2011-05-11
Last Update Date
2020-10-05
Business Address
KELLI K DESANCTIS DO
2501 W 12TH ST
ERIE, PA 16505-4527
Phone number: 814-461-6626
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Mailing Address
KELLI K DESANCTIS DO
2501 W 12TH ST
ERIE, PA 16505-4527
Phone number: 814-461-6626
Copy
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