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1609190511
JEAN ANN FORNWALT
ALTOONA, PA
NPI
1609190511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN28033)
Enumeration Date
2010-03-22
Last Update Date
2010-03-22
Business Address
Mrs. JEAN ANN FORNWALT LPN
201 CHESTNUT AVE
ALTOONA, PA 16601-4927
Phone number: 814-946-5411
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Mailing Address
Mrs. JEAN ANN FORNWALT LPN
201 CHESTNUT AVE
ALTOONA, PA 16601-4927
Phone number: 814-946-5411
Copy
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