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1134657588
ETHAN ERIC ERNST
STATE COLLEGE, PA
NPI
1134657588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA059038)
Enumeration Date
2017-05-30
Last Update Date
2020-08-31
Business Address
ETHAN ERIC ERNST PA-C
200 SCENERY DR
STATE COLLEGE, PA 16801-7974
Phone number: 814-231-4560
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Mailing Address
ETHAN ERIC ERNST PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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