Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Sep 30, 2011
License(s)
34.016847 (OH), OS017338 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 63 PITT ST | Sharon, PA 16146-2102 | 724-342-6604 |
| MAILING | 100 SHENANGO AVE | Sharon, PA 16146-1503 | 724-342-6604 |
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