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1104881648
GATEWAY AREA MEDICAL PCP
DU BOIS, PA
NPI
1104881648
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Entity Type
Organization
Authorized Contact
LINDA J NOWAK
Billing De PT
814-371-1771
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-04-18
Last Update Date
2010-12-13
Business Address
GATEWAY AREA MEDICAL PCP
635C MAPLE AVE
DU BOIS, PA 15801-2377
Phone number: 814-371-1771
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Mailing Address
GATEWAY AREA MEDICAL PCP
635C MAPLE AVE
DU BOIS, PA 15801-2377
Phone number: 814-371-1771
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