Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Sep 15, 2020
License(s)
MA061932 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 116 S ELMER AVE | Sayre, PA 18840-2006 | 570-887-2849 |
| MAILING | 1 GUTHRIE SQ | Sayre, PA 18840-1625 | 570-888-5858 |
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