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1710420179
PATRICIA DEHAVEN
WILKES BARRE, PA
NPI
1710420179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP016709)
Enumeration Date
2016-12-02
Last Update Date
2016-12-02
Business Address
-- PATRICIA DEHAVEN CRNP
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
-- PATRICIA DEHAVEN CRNP
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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