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1275977431
ERIC NILS LUNDBLOM
DU BOIS, PA
NPI
1275977431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR M5118)
Enumeration Date
2013-04-18
Last Update Date
2013-04-18
Business Address
Mr. ERIC NILS LUNDBLOM LMSW
5690 SHAFFER RD
DU BOIS, PA 15801-3870
Phone number: 814-375-6817
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Mailing Address
Mr. ERIC NILS LUNDBLOM LMSW
5690 SHAFFER RD
DU BOIS, PA 15801-3870
Phone number: 814-375-6817
Copy
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