Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Feb 6, 2008
License(s)
MA002533L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1B MAIN ST | Wellsboro, PA 16901-1601 | 570-724-7100 |
| LOCATION | 1B MAIN ST | Wellsboro, PA 16901-1601 | 570-724-7100 |
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