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1790029411
BETHE VISCUSO
ERIE, PA
NPI
1790029411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: PA SP019305)
Enumeration Date
2012-11-19
Last Update Date
2021-05-24
Business Address
BETHE VISCUSO
2861 W 26TH ST
ERIE, PA 16506-3064
Phone number: 814-835-8903
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Mailing Address
BETHE VISCUSO
2861 W 26TH ST STE 2
ERIE, PA 16506-3064
Phone number:
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