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1356649024
KATHY M VIDUMSKY
WILKES BARRE, PA
NPI
1356649024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP011024)
Enumeration Date
2011-03-04
Last Update Date
2020-12-30
Business Address
Ms. KATHY M VIDUMSKY CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-5647
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Mailing Address
Ms. KATHY M VIDUMSKY CRNP
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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