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1104353804
SHANE JEREMY SCANLON
ALLENTOWN, PA
NPI
1104353804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS020553)
Enumeration Date
2017-05-12
Last Update Date
2020-07-29
Business Address
SHANE JEREMY SCANLON D.O.
250 CETRONIA RD STE 115
ALLENTOWN, PA 18104-9168
Phone number: 610-395-0307
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Mailing Address
SHANE JEREMY SCANLON D.O.
2100 MACK BLVD
ALLENTOWN, PA 18103-5622
Phone number: 610-395-0307
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