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1144505975
TODD STAUB
WYOMISSING, PA
NPI
1144505975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP011654)
Enumeration Date
2011-10-12
Last Update Date
2018-08-27
Business Address
Mr. TODD STAUB NP-C
2608 KEISER BLVD
WYOMISSING, PA 19610
Phone number: 610-685-5864
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Mailing Address
Mr. TODD STAUB NP-C
3317 PENN AVE
READING, PA 19609-1436
Phone number: 610-750-7891
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