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1780145110
KELSEY A FANTINO
CHESAPEAKE, VA
NPI
1780145110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110006774)
Enumeration Date
2019-03-28
Last Update Date
2022-10-19
Business Address
MRS. KELSEY A FANTINO PA-C
817 VOLVO PKWY
CHESAPEAKE, VA 23320-2855
Phone number: 757-668-4630
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Mailing Address
MRS. KELSEY A FANTINO PA-C
817 VOLVO PKWY
CHESAPEAKE, VA 23320-2855
Phone number:
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