Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jul 10, 2006
License(s)
MA003595L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1417 8TH AVE | Bethlehem, PA 18018-2256 | 484-526-0224 |
| LOCATION | 1417 8TH AVE | Bethlehem, PA 18018-2256 | 484-526-0224 |
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