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1225324171
THAD J NEIDRICK
DANVILLE, PA
NPI
1225324171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP011433)
Enumeration Date
2011-06-20
Last Update Date
2021-01-07
Business Address
Mr. THAD J NEIDRICK CRNP
100 N ACADEMY AVE
DANVILLE, PA 17822-2770
Phone number: 570-271-6369
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Mailing Address
Mr. THAD J NEIDRICK CRNP
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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