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1306313069
MADYSEN KACEY LUSSI
WILKES BARRE, PA
NPI
1306313069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-30
Last Update Date
2022-01-07
Business Address
MADYSEN KACEY LUSSI
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702-7906
Phone number: 570-808-7916
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Mailing Address
MADYSEN KACEY LUSSI
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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