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1104504125
MARY LOUISE DEPIETRO
DUNMORE, PA
NPI
1104504125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN102636L)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MARY LOUISE DEPIETRO
118 MONAHAN AVE
DUNMORE, PA 18512-1700
Phone number: 570-241-0359
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Mailing Address
MARY LOUISE DEPIETRO
118 MONAHAN AVE
DUNMORE, PA 18512-1700
Phone number: 570-241-0359
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