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1003838103
LIDA EATEDALI
WILKES BARRE, PA
NPI
1003838103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301084937)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Dr. LIDA EATEDALI MD
1111 EAST END BLVD VAMC.
WILKES BARRE, PA 18711
Phone number: 570-824-3521
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Mailing Address
Dr. LIDA EATEDALI MD
306 INDIAN CREEK DR WILKES WOOD
WILKES BARRE, PA 18702-7826
Phone number: 570-820-0465
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