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1336661123
CHARMAINE E DAVIS BURTON
STROUDSBURG, PA
NPI
1336661123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282J00000X Religious Nonmedical Health Care Institution
(Licence: PA 00000000000)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
CHARMAINE E DAVIS BURTON
710 AVENUE C
STROUDSBURG, PA 18360-1957
Phone number: 570-801-0801
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Mailing Address
CHARMAINE E DAVIS BURTON
710 AVENUE C
STROUDSBURG, PA 18360-1957
Phone number:
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