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1164170023
DOMINIK RYAN BERTHOLD
LANCASTER, PA
NPI
1164170023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-10
Last Update Date
2023-06-05
Business Address
Mr. DOMINIK RYAN BERTHOLD MSW
8 N QUEEN ST
LANCASTER, PA 17603-3878
Phone number: 717-297-0515
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Mailing Address
Mr. DOMINIK RYAN BERTHOLD MSW
8 N QUEEN ST
LANCASTER, PA 17603-3878
Phone number: 717-297-0515
Copy
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