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1245051952
ANDREW SKUTACK
WILKES BARRE, PA
NPI
1245051952
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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
2024-10-24
Last Update Date
2024-10-24
Business Address
ANDREW SKUTACK
133 N RIVER ST
WILKES BARRE, PA 18711-0801
Phone number: 570-208-5900
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Mailing Address
ANDREW SKUTACK
133 N RIVER ST
WILKES BARRE, PA 18711-0801
Phone number: 570-208-5900
Copy
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