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Organization

CALIFORNIA UNIVERSITY OF PENNSYLVANIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FRANCES DUDA FAYISH CRNP (NURSE PRACTITIONER)
(724) 938-5922
Entity
Organization

Contact information

Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-5922
(724) 938-4509
Mailing address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-5922
(724) 938-4509

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
VP006076B
PA

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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