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1053997999
THOMAS MICKOWSKI
KINGSTON, PA
NPI
1053997999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP022412)
Enumeration Date
2021-03-22
Last Update Date
2024-01-03
Business Address
Mr. THOMAS MICKOWSKI CRNP
511 PIERCE ST
KINGSTON, PA 18704-5731
Phone number: 570-243-3300
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Mailing Address
Mr. THOMAS MICKOWSKI CRNP
PO BOX 1885
KINGSTON, PA 18704-0885
Phone number: 570-288-8881
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