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1114993334
FOTIS G MYSTAKAS
LEBANON, PA
NPI
1114993334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: PA MD034196L)
Enumeration Date
2006-02-27
Last Update Date
2016-03-18
Business Address
Dr. FOTIS G MYSTAKAS M.D.
912 RUSSELL DR
LEBANON, PA 17042-7485
Phone number: 717-272-7971
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Mailing Address
Dr. FOTIS G MYSTAKAS M.D.
3421 CONCORD RD
YORK, PA 17402-9001
Phone number: 717-272-7971
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