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1003553744
KANISHQ RAJAN JETHANI
SCRANTON, PA
NPI
1003553744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-15
Last Update Date
2023-01-24
Business Address
Mr. KANISHQ RAJAN JETHANI M.D
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Phone number: 570-866-3058
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Mailing Address
Mr. KANISHQ RAJAN JETHANI M.D
THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION 501 S. WASHINGTON AVE., SUITE 1000
SCRANTON, PA 18505
Phone number: 570-866-3058
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