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Individual

MARIA LYNN MCKENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
521 PARKSIDE DR, ERIE, PA 16511-2434
(814) 873-4275
Mailing address
521 PARKSIDE DR, ERIE, PA 16511-2434
(814) 873-4275

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282139
PA

Other

Enumeration date
10/18/2012
Last updated
02/18/2013
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