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1023200730
MICHAEL R. GILDEA PC
LEWISBURG, PA
NPI
1023200730
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Entity Type
Organization
Authorized Contact
MICHAEL RICHARD GILDEA
Owner/Therapist
570-522-8330
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: PA 607049)
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
MICHAEL R. GILDEA PC
88 N BULL RUN XING SUITE 6
LEWISBURG, PA 17837-6725
Phone number: 570-522-8330
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Mailing Address
MICHAEL R. GILDEA PC
88 N BULL RUN XING SUITE 6
LEWISBURG, PA 17837-6725
Phone number: 570-522-8330
Copy
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