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1265198030
IAN M LIEBOLD
STROUDSBURG, PA
NPI
1265198030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP024724)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
IAN M LIEBOLD CRNP
600 COMMERCE BLVD
STROUDSBURG, PA 18360-6214
Phone number: 570-424-7390
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Mailing Address
IAN M LIEBOLD CRNP
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 484-629-2282
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