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1043316870
THOMAS J DESTEFANO
JOHNSTOWN, PA
NPI
1043316870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA002812L)
Enumeration Date
2006-09-16
Last Update Date
2008-08-25
Business Address
Mr. THOMAS J DESTEFANO PA-C
429 INDUSTRIAL PARK DR PBG HEALTH AND WELLNESS CENTER
JOHNSTOWN, PA 15904
Phone number: 814-262-1219
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Mailing Address
Mr. THOMAS J DESTEFANO PA-C
429 INDUSTRIAL PARK DR PBG HEALTH AND WELLNESS CENTER
JOHNSTOWN, PA 15904
Phone number: 814-262-1219
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