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1013215896
MICHAEL JON DEPERSIS
SAYRE, PA
NPI
1013215896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 278632)
Enumeration Date
2011-03-03
Last Update Date
2021-03-26
Business Address
Dr. MICHAEL JON DEPERSIS D.O.
1 GUTHRIE SQUARE GUTHRIE MEDICAL GROUP
SAYRE, PA 18840-1625
Phone number: 570-888-5858
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Mailing Address
Dr. MICHAEL JON DEPERSIS D.O.
1 GUTHRIE SQ GUTHRIE MEDICAL GROUP
SAYRE, PA 18840-1625
Phone number: 570-888-5858
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