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1134537319
JOSEPH BRUCKNER
LAKE ARIEL, PA
NPI
1134537319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE1000110)
Enumeration Date
2014-07-31
Last Update Date
2014-07-31
Business Address
JOSEPH BRUCKNER
1404 GOLF PARK DR
LAKE ARIEL, PA 18436-4252
Phone number: 570-698-5647
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Mailing Address
JOSEPH BRUCKNER
1404 GOLF PARK DR
LAKE ARIEL, PA 18436-4252
Phone number:
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