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GEDE' WESLEY-KIEPEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
21 WATERFORD DR, MECHANICSBURG, PA 17050-8266
(717) 591-3630
(717) 591-3631
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R133968
MD
163W00000X
Registered Nurse
RN590623
PA
363L00000X
Nurse Practitioner
SP011372
PA
363LF0000X
Family Nurse Practitioner
Primary
SP011372
PA

Other

Enumeration date
07/13/2011
Last updated
07/13/2011
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