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Individual

DR. NANCY ANN PROVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
49 N RICHARDSON AVE, LANSDALE, PA 19446-2125
(215) 855-7747
Mailing address
49 N RICHARDSON AVE, LANSDALE, PA 19446-2125
(215) 855-7747

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OS-009065-2
PA

Other

Enumeration date
04/23/2012
Last updated
05/04/2012
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