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1073115754
NIKOLAS GRIFFIN GUSHKA
WILKES BARRE, PA
NPI
1073115754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA062026)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
NIKOLAS GRIFFIN GUSHKA PA-C
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-7300
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Mailing Address
NIKOLAS GRIFFIN GUSHKA PA-C
408 UNION ST
EXETER, PA 18643-1079
Phone number: 570-592-4138
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