Registry details
Type
Individual
Primary specialty
Surgery
Enumerated
Sep 21, 2021
License(s)
PN284994 (PA), PN284994 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1700 S LINCOLN AVE | Lebanon, PA 17042-7529 | 717-228-6117 |
| LOCATION | 1700 S LINCOLN AVE | Lebanon, PA 17042-7529 | 717-228-6117 |
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