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1104122233
KACEY A TOMKO
MOOSIC, PA
NPI
1104122233
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Former Name
KACEY A HAZELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA054800)
Enumeration Date
2011-02-08
Last Update Date
2018-07-10
Business Address
KACEY A TOMKO PA-C, MPAS
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Phone number: 570-346-3686
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Mailing Address
KACEY A TOMKO PA-C, MPAS
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1782
Phone number: 570-346-3686
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