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1245252832
BERNARD WELLICKA
WILKES BARRE, PA
NPI
1245252832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN284517L)
Enumeration Date
2006-07-24
Last Update Date
2015-04-16
Business Address
-- BERNARD WELLICKA CRNA
575 N RIVER ST
WILKES BARRE, PA 18764-0999
Phone number: 570-829-8111
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Mailing Address
-- BERNARD WELLICKA CRNA
3998 FAIR RDIGE DRIVE SUITE 300
FAIRFAX, VA 22033
Phone number: 703-295-9360
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