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1215611751
TOMISLAV KUCUK
MOOSIC, PA
NPI
1215611751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP026711)
Enumeration Date
2023-06-14
Last Update Date
2023-06-27
Business Address
TOMISLAV KUCUK CRNP
60 GLENMAURA NATIONAL BOULEVARD
MOOSIC, PA 18507
Phone number: 570-808-7300
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Mailing Address
TOMISLAV KUCUK CRNP
19 WOODCREST AVE
MOUNTAIN TOP, PA 18707-1129
Phone number: 570-239-4526
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