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1811964018
JEFFREY C. FAGUE
CHAMBERSBURG, PA
NPI
1811964018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN243004L)
Enumeration Date
2006-03-07
Last Update Date
2017-09-14
Business Address
-- JEFFREY C. FAGUE CRNA
112 N 7TH ST
CHAMBERSBURG, PA 17201-1720
Phone number: 717-267-7164
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Mailing Address
-- JEFFREY C. FAGUE CRNA
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6144
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