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Individual

MARIE SUSAN GAETANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4470 VALLEY ST, ENOLA, PA 17025-1443
(717) 732-8883
(717) 732-1640
Mailing address
3 WALNUT ST, SUITE 206, LEMOYNE, PA 17043-1168
(717) 761-0208
(717) 761-2023

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008299
PA

Other

Enumeration date
07/06/2006
Last updated
08/18/2009
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