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1063057040
OSWALDO GIOVANNI TAGLE MANRIQUE
ALLENTOWN, PA
NPI
1063057040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA061118)
Enumeration Date
2019-11-13
Last Update Date
2023-06-22
Business Address
Mr. OSWALDO GIOVANNI TAGLE MANRIQUE PA-C
2200 HAMILTON ST STE 111
ALLENTOWN, PA 18104-6329
Phone number: 610-821-8321
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Mailing Address
Mr. OSWALDO GIOVANNI TAGLE MANRIQUE PA-C
4019 INDIAN CREEK RD
EMMAUS, PA 18049-1909
Phone number: 610-704-7694
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