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1982640728
KELLY ELIZABETH FANTOZZI
PORTSMOUTH, VA
NPI
1982640728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0001169731)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
-- KELLY ELIZABETH FANTOZZI CRNA
3636 HIGH STREET MARY VIEW MEDICAL CENTER
PORTSMOUTH, VA 23704
Phone number: 757-399-7461
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Mailing Address
-- KELLY ELIZABETH FANTOZZI CRNA
355 CRAWFORD STREET SUITE 808
PORTSMOUTH, VA 23704
Phone number: 757-399-7451
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