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1215456165
TIFFANY RAY O'DONNELL
SCRANTON, PA
NPI
1215456165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
TIFFANY RAY O'DONNELL PA-C
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-703-8000
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Mailing Address
TIFFANY RAY O'DONNELL PA-C
103 MARCABY LANE
CLARKS SUMMIT, PA 18411
Phone number: 570-561-5334
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