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1104201037
JAMES R WILKES
STATE COLLEGE, PA
NPI
1104201037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA RT005744)
Enumeration Date
2015-07-21
Last Update Date
2015-07-21
Business Address
Mr. JAMES R WILKES ATC
1518 N ALLEN ST
STATE COLLEGE, PA 16803-3013
Phone number: 215-512-0017
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Mailing Address
Mr. JAMES R WILKES ATC
1518 N ALLEN ST
STATE COLLEGE, PA 16803-3013
Phone number: 215-512-0017
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