Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Nov 2, 2007
License(s)
MA054392 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 12 ST. PAUL DRIVE SUITE 207 | Chambersburg, PA 17201 | 717-217-6882 |
| MAILING | 785 5TH AVE STE 3 | Chambersburg, PA 17201-4232 | 717-263-9555 |
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