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1336556588
ADRIENE SLACKTISH
WILKES BARRE, PA
NPI
1336556588
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Former Name
ADRIENE COYLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP013969)
Enumeration Date
2014-07-21
Last Update Date
2014-07-21
Business Address
-- ADRIENE SLACKTISH CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-5780
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Mailing Address
-- ADRIENE SLACKTISH CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-5780
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