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1245853555
VIVEK GAUTAM
SCRANTON, PA
NPI
1245853555
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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
2020-05-20
Last Update Date
2021-11-27
Business Address
VIVEK GAUTAM
501 S WASHINGTON AVE
SCRANTON, PA 18505-3814
Phone number: 570-591-5131
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Mailing Address
VIVEK GAUTAM
501 S WASHINGTON AVE
SCRANTON, PA 18505-3814
Phone number: 570-591-5131
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